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DR. GARY ROY MENNIE M.D.
NPI 1235131210
Specialist in Port Arthur, TX

Active since August 10, 2005PECOS EnrolledCLIA 45D1031198 · Waiver
2770 AERO DR, SUITE 1, PORT ARTHUR, TX 77640(409) 727-4642(409) 721-9774 Get Directions Write a Review

NPPES record last updated: May 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gary Roy Mennie M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GARY ROY MENNIE M.D. (NPI 1235131210) is an individual specialist in Port Arthur, Texas, licensed in Texas (K9128) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and holds a CLIA Waiver certificate valid through February 19, 2027.

NPPES Registry Identity

NPI1235131210
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. GARY ROY MENNIECredential: M.D.
Location Address2770 AERO DR, SUITE 1Port Arthur, TX 77640-1518
Mailing Address2770 Aero Dr, Suite 1Port Arthur, TX 77640-1518 · (409) 727-4642 · Fax (409) 721-9774
Phone(409) 727-4642
Fax(409) 721-9774
Sole ProprietorNo
Enumeration DateAugust 10, 2005
Last NPPES UpdateMay 22, 2008
✔ NPI 1235131210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · K9128
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2770 AERO DR, Port Arthur, TX 77640
Open in Google Maps ↗

Other Identifiers 2

Medicare UPING85976TX
Medicare PIN00033XTX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gary Roy Mennie M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1031198

Gary R Mennie, MD, PA · Port Arthur, TX
Active · expires Feb 19, 2027
CLIA Number45D1031198
Laboratory TypePhysician Office
Certificate Effective DateFebruary 20, 2025
Certificate Expiration DateFebruary 19, 2027
Laboratory DirectorGary R. Mennie
Laboratory Phone(409) 727-4642
Laboratory LocationGary R Mennie, MD, PA2770 Aero Dr Ste 1, Port Arthur, TX 77640
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENNETH KING BARTON DDS
Dentist (Oral and Maxillofacial Surgery)
2770 AERO DR, STE 2
PORT ARTHUR, TX 77640
Jefferson County (409) 729-0300

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 Gary Mennie's NPI number?

The NPI number for Gary Mennie is 1235131210. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Gary Mennie located?

Gary Mennie practices at 2770 Aero Dr Suite 1, Port Arthur, TX 77640. The listed phone number is (409) 727-4642.

What is Gary Mennie's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Gary Mennie enrolled in Medicare?

Yes. Gary Mennie is registered in the Medicare PECOS enrollment system.

Does Gary Mennie hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1031198) is associated with this NPI, valid through February 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gary Mennie accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Gary Mennie 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 Gary Mennie was last updated on May 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.