UNIVERSITY DIAGNOSTIC AND TREATMENT CLINIC
NPI 1194723296
Clinic/Center - Oncology, Radiation in Houston, TX
About University Diagnostic And Treatment Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UNIVERSITY DIAGNOSTIC AND TREATMENT CLINIC (NPI 1194723296) is a healthcare organization registered as an oncology, radiation in Houston, Texas and active in the NPI registry since July 2005. The organization lists Mark A Dandrea, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
University Diagnostic And Treatment Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to University Diagnostic And Treatment Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gulf Coast Cancer & Diagnostic Center At Southeast's NPI number?
The NPI number for Gulf Coast Cancer & Diagnostic Center At Southeast is 1194723296. It was assigned to this organization in the NPPES registry on July 12, 2005. The provider is doing business as University Diagnostic And Treatment Clinic.
Where is Gulf Coast Cancer & Diagnostic Center At Southeast located?
Gulf Coast Cancer & Diagnostic Center At Southeast is located at 12811 Beamer Rd, Houston, TX 77089. The listed phone number is (713) 474-1414.
What is Gulf Coast Cancer & Diagnostic Center At Southeast's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Oncology, Radiation, with taxonomy code 261QX0203X.
Is Gulf Coast Cancer & Diagnostic Center At Southeast enrolled in Medicare?
Yes. Gulf Coast Cancer & Diagnostic Center At Southeast is registered in the Medicare PECOS enrollment system.
When is Gulf Coast Cancer & Diagnostic Center At Southeast's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Gulf Coast Cancer & Diagnostic Center At Southeast?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Radiation Oncology) reassigns their Medicare billing to Gulf Coast Cancer & Diagnostic Center At Southeast. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Gulf Coast Cancer & Diagnostic Center At Southeast accept?
Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare and UnitedHealthcare list Gulf Coast Cancer & Diagnostic Center At Southeast as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Gulf Coast Cancer & Diagnostic Center At Southeast was last updated on April 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# University Diagnostic And Treatment Clinic · NPI 1194723296
Oncology, Radiation organization in Houston, Texas. Organization record, active in the CMS NPPES registry since July 12, 2005.
## Identity
- **NPI:** 1194723296 (Entity type: Organization)
- **Enumerated:** July 12, 2005
- **Primary specialty:** Clinic/Center - Oncology, Radiation · taxonomy 261QX0203X
- **Legal business name:** Gulf Coast Cancer & Diagnostic Center At Southeast
- **Organization subpart:** No
- **Authorized official:** Mark Dandrea, OWNER
## Practice location
- **Address:** 12811 BEAMER RD, Houston, TX 77089-6140
- **Phone:** (713) 474-1414 · **Fax:** (713) 474-8477
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Radiation Oncology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 19, 2016
- **Other identifiers:** Medicare PIN 00328R (TX); Medicaid 149577201 (TX); Other 0212DC (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1194723296) · Data from the CMS NPPES public registry.