EAST TEXAS SURGICAL ASSOCIATES, PA
NPI 1497892152
Surgery in Beaumont, TX
About East Texas Surgical Associates, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST TEXAS SURGICAL ASSOCIATES, PA (NPI 1497892152) is a healthcare organization registered as a surgery in Beaumont, Texas and active in the NPI registry since January 2007. The organization maintains a secondary practice location in Corpus Christi and lists Charles Gutierrez, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
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)
East Texas Surgical Associates, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 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
12Medicare enrollment records show 12 clinicians reassign Medicare billing to East Texas Surgical Associates, PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (12)
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 East Texas Surgical Associates, PA's NPI number?
The NPI number for East Texas Surgical Associates, PA is 1497892152. It was assigned to this organization in the NPPES registry on January 31, 2007.
Where is East Texas Surgical Associates, PA located?
East Texas Surgical Associates, PA is located at 350 Pine Street Suite 1415, Beaumont, TX 77701. The listed phone number is (409) 924-8600.
What is East Texas Surgical Associates, PA's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is East Texas Surgical Associates, PA enrolled in Medicare?
Yes. East Texas Surgical Associates, PA is registered in the Medicare PECOS enrollment system.
When is East Texas Surgical Associates, PA'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 March 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 East Texas Surgical Associates, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to East Texas Surgical Associates, PA. 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. The largest specialties are Nurse Practitioner (6), Diagnostic Radiology (3) and Vascular Surgery (2). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for East Texas Surgical Associates, PA was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# East Texas Surgical Associates, Pa · NPI 1497892152
Surgery organization in Beaumont, Texas. Organization record, active in the CMS NPPES registry since January 31, 2007.
## Identity
- **NPI:** 1497892152 (Entity type: Organization)
- **Enumerated:** January 31, 2007
- **Primary specialty:** Surgery · taxonomy 208600000X
- **Organization subpart:** No
- **Authorized official:** Charles Gutierrez, OWNER
## Practice location
- **Address:** 350 PINE STREET, SUITE 1415, Beaumont, TX 77701-2441
- **Phone:** (409) 924-8600 · **Fax:** (409) 924-8607
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 12 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Diagnostic Radiology (3), Vascular Surgery (2); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1497892152) · Data from the CMS NPPES public registry.