DIGESTIVE SPECIALISTS, PA
NPI 1962402420
Internal Medicine - Gastroenterology in Shenandoah, TX

Active since July 27, 2005
111 VISION PARK BLVD, SUITE 150, SHENANDOAH, TX 77384(936) 321-0033(936) 321-0032 Get Directions Write a Review

NPPES record last updated: July 10, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Digestive Specialists, Pa NPPES

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

DIGESTIVE SPECIALISTS, PA (NPI 1962402420) is a healthcare organization registered as a gastroenterology in Shenandoah, Texas and active in the NPI registry since July 2005. The organization lists Liz Wilcox, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1962402420
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameDIGESTIVE SPECIALISTS OF NORTH HARRIS COUNTY PA
Location Address111 VISION PARK BLVD, SUITE 150Shenandoah, TX 77384-3002
Mailing AddressPo Box 130894The Woodlands, TX 77393-0894 · (936) 321-0033 · Fax (936) 321-0032
Fax(936) 321-0032
Organization SubpartNo
Authorized OfficialLiz WilcoxBilling Supervisor · (936) 321-0033
Enumeration DateJuly 27, 2005
Last NPPES UpdateJuly 10, 2008
✔ NPI 1962402420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
111 VISION PARK BLVD, Shenandoah, TX 77384

Other Names 1

Doing Business AsDigestive Specialists, Pa

Other Identifiers 5

Medicare PIN00580NTX
Other0057EBTX · Blue Cross
OtherCI6786TX · Rail Road Medicare
Medicaid158069801TX
Medicaid158215701TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Digestive Specialists, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 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.

StateEnrollment IDDue date
StateTexasEnrollment IDO20040913000517Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Digestive Specialists, PA, which bills Medicare for the services they deliver. Of these, 8 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Gastroenterology
NPI 1063412351
111 VISION PARK BLVD STE 150
Shenandoah, TX 77384
(936) 321-0033
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1154539757
111 VISION PARK BLVD SUITE 150
Shenandoah, TX 77384
(936) 321-0033
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1093343246
111 VISION PARK BLVD STE 150
Shenandoah, TX 77384
(936) 321-0033
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1588665335
111 VISION PARK BLVD SUITE 150
Shenandoah, TX 77384
(936) 321-0033
✔ PECOSSame address
Gastroenterology
NPI 1376543470
111 VISION PARK BLVD STE 150
Shenandoah, TX 77384
(936) 321-0033
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1548260920
111 VISION PARK BLVD STE 150
Shenandoah, TX 77384
(936) 321-0033
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1386662351
111 VISION PARK BLVD STE 150
Shenandoah, TX 77384
(936) 321-0033
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1184065021
111 VISION PARK BLVD SUITE 150
Shenandoah, TX 77384
(936) 321-0033
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1245234616
22999 HIGHWAY 59 N
Kingwood, TX 77339
(281) 348-8279
✔ PECOS✔ Accepts Medicare15 mi

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 Digestive Specialists Of North Harris County PA's NPI number?

The NPI number for Digestive Specialists Of North Harris County PA is 1962402420. It was assigned to this organization in the NPPES registry on July 27, 2005. The provider is doing business as Digestive Specialists, PA.

Where is Digestive Specialists Of North Harris County PA located?

Digestive Specialists Of North Harris County PA is located at 111 Vision Park Blvd Suite 150, Shenandoah, TX 77384. The listed phone number is (936) 321-0033.

What is Digestive Specialists Of North Harris County PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Digestive Specialists Of North Harris County PA enrolled in Medicare?

Yes. Digestive Specialists Of North Harris County PA is registered in the Medicare PECOS enrollment system.

When is Digestive Specialists Of North Harris County 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 November 30, 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 Digestive Specialists Of North Harris County PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Digestive Specialists Of North Harris County 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 Gastroenterology (7), Nurse Practitioner (1) and Pathology (1). Of these, 8 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Digestive Specialists Of North Harris County PA was last updated on July 10, 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.