GULF COAST PATHOLOGY PROGRAM PLLC
NPI 1629643069
Pathology - Anatomic Pathology & Clinical Pathology in Houston, TX
About Gulf Coast Pathology Program Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GULF COAST PATHOLOGY PROGRAM PLLC (NPI 1629643069) is a healthcare organization registered as an anatomic pathology & clinical pathology in Houston, Texas and active in the NPI registry since May 2021. The organization lists Wade Kordonowy, Division Vp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Gulf Coast Pathology Program Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
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
42Medicare enrollment records show 42 clinicians reassign Medicare billing to Gulf Coast Pathology Program PLLC, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Nearest to this location (20)
See all 42Source: 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 Pathology Program PLLC's NPI number?
The NPI number for Gulf Coast Pathology Program PLLC is 1629643069. It was assigned to this organization in the NPPES registry on May 26, 2021.
Where is Gulf Coast Pathology Program PLLC located?
Gulf Coast Pathology Program PLLC is located at 1313 Hermann Dr, Houston, TX 77004. The listed phone number is (713) 527-5000.
What is Gulf Coast Pathology Program PLLC's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Gulf Coast Pathology Program PLLC enrolled in Medicare?
Yes. Gulf Coast Pathology Program PLLC is registered in the Medicare PECOS enrollment system.
When is Gulf Coast Pathology Program PLLC'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 October 31, 2026. 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 Pathology Program PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 42 clinicians, all in Pathology, reassign their Medicare billing to Gulf Coast Pathology Program PLLC. 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. Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Gulf Coast Pathology Program PLLC accept?
Health plans from Blue Cross and Blue Shield of Texas list Gulf Coast Pathology Program PLLC 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 Pathology Program PLLC was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Gulf Coast Pathology Program Pllc · NPI 1629643069
Anatomic Pathology & Clinical Pathology organization in Houston, Texas. Organization record, active in the CMS NPPES registry since May 26, 2021.
## Identity
- **NPI:** 1629643069 (Entity type: Organization)
- **Enumerated:** May 26, 2021
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **Organization subpart:** No
- **Authorized official:** Wade Kordonowy, DIVISION VP
## Practice location
- **Address:** 1313 HERMANN DR, Houston, TX 77004-7005
- **Phone:** (713) 527-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 42 clinicians (Pathology) reassign Medicare billing to this organization (form CMS-855R); 6 practice within 10 miles; [full list](https://npiprofile.com/npi/1629643069/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1629643069) · Data from the CMS NPPES public registry.