JASON GOURLAS PA
NPI 1750498754
Physician Assistant - Surgical in San Antonio, TX

Q: What is Jason Gourlas's NPI number?

The NPI number for Jason Gourlas is 1750498754. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Q: What is Jason Gourlas's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: Is Jason Gourlas enrolled in Medicare?

No. Jason Gourlas has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jason Gourlas was last updated on October 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 24, 2006Opted out of Medicare · through Apr 1, 2027

4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-2078(210) 358-1972 Get Directions Write a Review

NPPES record last updated: October 29, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jason Gourlas Pa NPPES

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

JASON GOURLAS PA (NPI 1750498754) is an individual surgical provider in San Antonio, Texas, licensed in Texas (PA01671) and active in the NPI registry since August 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1750498754

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameJASON GOURLASCredential: PA

Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402

Mailing Address7703 Floyd Curl DrSan Antonio, TX 78229-3901 · (210) 358-2078

Phone(210) 358-2078

Fax(210) 358-1972

Sole ProprietorNo

Enumeration DateAugust 24, 2006

Last NPPES UpdateOctober 29, 2014

✔ NPI 1750498754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in TX · PA01671

4502 MEDICAL DR, San Antonio, TX 78229

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Other Identifiers 4

Medicaid189458602TX

Medicare PIN8L12297TX

Medicare PIN81N212TX

Medicaid189458601TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jason Gourlas Pa has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2019 through April 1, 2027.

Opt-Out Effective DateApril 1, 2019

Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

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

EDUARDO N. POLLONO MD

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