Utmb Faculty Group Practice

NPI 1942241146ActiveOrganization· General Practice· Galveston, TX

General Practice in Galveston, Texas, registered in NPPES in June 2006. The authorized official on file is Gabriela Villarreal, Director. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI	1942241146
Status	Active
Entity type	Organization
NPI issued	Jun 9, 2006
Last updated in NPPES	Jun 4, 2024
Certified by provider	Jun 4, 2024

Specialties and licenses

Taxonomy	Code	License	State
General Practice Primary	208D00000X	—	—
Anesthesiology	207L00000X	—	—
Dermatology	207N00000X	—	—
Emergency Medicine	207P00000X	—	—
Internal Medicine	207R00000X	—	—
Obstetrics & Gynecology	207V00000X	—	—
Ophthalmology	207W00000X	—	—
Otolaryngology	207Y00000X	—	—
Pathology, Anatomic Pathology	207ZP0101X	—	—
Pediatrics	208000000X	—	—
Psychiatry & Neurology, Neurology	2084N0400X	—	—
Psychiatry & Neurology, Psychiatry	2084P0800X	—	—
Radiology, Diagnostic Radiology	2085R0202X	—	—
Radiology, Therapeutic Radiology	2085R0203X	—	—
Surgery	208600000X	—	—

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Nov 10, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026	No match	—
New York OMIG · Nov 11, 2026	No match	—
Ohio Medicaid · Nov 11, 2026	No match	—
Pennsylvania Medicheck · Nov 11, 2026	No match	—
Washington HCA · Nov 11, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (CT); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (IN); Part B Supplier - Clinic/Group Practice (KY); Part B Supplier - Clinic/Group Practice (LA); Part B Supplier - Clinic/Group Practice (MI); Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (OH); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (SC); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (UT); Part B Supplier - Clinic/Group Practice (WA)

Enrollment (PECOS)

Enrolled Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (CT); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (IN); Part B Supplier - Clinic/Group Practice (KY); Part B Supplier - Clinic/Group Practice (LA); Part B Supplier - Clinic/Group Practice (MI); Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (OH); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (SC); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (UT); Part B Supplier - Clinic/Group Practice (WA)

Medicare sources and data years

Other general practitioners in Galveston

Rediet Haileselassie, MD
Galveston, TX · Individual
1710548763
Lindsey Nicole Bosma
Galveston, TX · Individual
1669301297
Tanner Philip Jones, MD
Galveston, TX · Individual
1447756606
William Clay Turner, MD
Galveston, TX · Individual
1780808923

All general practitioners in Texas