Gulf Coast Pathology Program PLLC
NPI 1629643069 · Anatomic Pathology & Clinical Pathology Physician · Houston, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gulf Coast Pathology Program PLLC is a Anatomic Pathology & Clinical Pathology Physician organization in Houston, TX (NPI 1629643069).
Provider details
- NPI number
- 1629643069
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wade Kordonowy, Division Vp(713) 852-1762
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-05-26
- Last updated
- 2021-09-17
- Certified
- 2021-09-17
Frequently asked questions
- What is Gulf Coast Pathology Program PLLC's NPI number?
- Gulf Coast Pathology Program PLLC's National Provider Identifier (NPI) is 1629643069, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gulf Coast Pathology Program PLLC?
- Gulf Coast Pathology Program PLLC is classified in the NPPES registry as Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Gulf Coast Pathology Program PLLC located?
- Gulf Coast Pathology Program PLLC's practice location on file with NPPES is 1313 Hermann Dr, Houston, TX 77004-7005.
- What is Gulf Coast Pathology Program PLLC's phone number?
- The practice phone number listed in the NPPES registry for Gulf Coast Pathology Program PLLC is (713) 527-5000.
- Does Gulf Coast Pathology Program PLLC accept Medicare?
- Gulf Coast Pathology Program PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Gulf Coast Pathology Program PLLC?
- The authorized official listed on Gulf Coast Pathology Program PLLC's NPPES record is Wade Kordonowy, Division Vp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gulf Coast Pathology Program PLLC's NPI active?
- Yes — Gulf Coast Pathology Program PLLC's NPI (1629643069) is active in the NPPES registry as of the last update on 2021-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.