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GLEN G.GUILLET M.D.,P.A.
NPI 1730394545
Clinic/Center - Primary Care in Beaumont, TX

Active since May 14, 2007CLIA 45D1071254 · Waiver
5875 N MAJOR DR, SUITE 214, BEAUMONT, TX 77713(409) 896-5901(409) 896-5910 Get Directions Write a Review

NPPES record last updated: May 10, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Glen G.guillet M.d.,p.a. NPPES

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

GLEN G.GUILLET M.D.,P.A. (NPI 1730394545) is a healthcare organization registered as a primary care in Beaumont, Texas and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through July 22, 2027 and lists Glen G Guillet, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730394545
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGLEN G.GUILLET M.D.,P.A.
Location Address5875 N MAJOR DR, SUITE 214Beaumont, TX 77713-9013
Mailing Address5875 N Major Dr, Suite 214Beaumont, TX 77713-9013 · (409) 896-5901 · Fax (409) 896-5910
Phone(409) 896-5901
Fax(409) 896-5910
Organization SubpartNo
Authorized OfficialGlen G GuilletCeo · (409) 896-5901
Enumeration DateMay 14, 2007
Last NPPES UpdateMay 10, 2011
✔ NPI 1730394545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in TX · D2455
5875 N MAJOR DR, Beaumont, TX 77713
Open in Google Maps ↗

Other Identifiers 4

Other0007PMTX · Bcbs
Medicare PIN00Y199TX
Medicare UPINB23177TX
Medicaid128065306TX

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glen G.guillet M.d.,p.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Glen G.Guillet M.D.,p.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Glen Guillet, M.D.
Family Practice
NPI 1326059577
5875 N MAJOR DR SUITE 214
Beaumont, TX 77713
(409) 896-5901
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 45D1071254

Glen G Guillet MD PA · Beaumont, TX
Active · expires Jul 22, 2027
CLIA Number45D1071254
Laboratory TypePhysician Office
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorGlen G. Guillet
Laboratory Phone(409) 896-5901
Laboratory LocationGlen G Guillet MD PA5875 N Major Dr Ste 214, Beaumont, TX 77713
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Glen G.Guillet M.D.,p.A.'s NPI number?

The NPI number for Glen G.Guillet M.D.,p.A. is 1730394545. It was assigned to this organization in the NPPES registry on May 14, 2007.

Where is Glen G.Guillet M.D.,p.A. located?

Glen G.Guillet M.D.,p.A. is located at 5875 N Major Dr Suite 214, Beaumont, TX 77713. The listed phone number is (409) 896-5901.

What is Glen G.Guillet M.D.,p.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Glen G.Guillet M.D.,p.A. enrolled in Medicare?

Yes. Glen G.Guillet M.D.,p.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Glen G.Guillet M.D.,p.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Glen G.Guillet M.D.,p.A.. 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.

Does Glen G.Guillet M.D.,p.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1071254) is associated with this NPI, valid through July 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Glen G.Guillet M.D.,p.A. was last updated on May 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.