Individual provider Active NPI

Gonzalo Uribebotero, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1023052164
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E1956 Issued in TX
Practice address
5373 W Alabama St Houston, TX 77056
Houston, TX 77041-5197
Phone
(713) 779-1633
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X E1956 TX
Pediatrics Physician 208000000X E1956 TX
Family Medicine Physician 207Q00000X E1956 TX Primary

Addresses

Primary practice location

5373 W Alabama St Houston, TX 77056
Houston, TX 77041-5197

Mailing address

9606 S Rice Ave
Houston, TX 77096-4136
Phone (713) 779-1633

Other identifiers 1

IdentifierTypeStateIssuer
137927302MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040217000420 TX Practitioner - Family PracticePractitioner - Pathology 6002701364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Pathology
Education
Other, 1962
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6655 Hillcroft St
Houston, TX 77081-4815
Phone (713) 779-1633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E1956TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medagene Clinic PA Pediatrics Current Accepting new patients
Medagene Clinic , P.a. Family Medicine CurrentSince Jul 2, 2013 Accepting new patients
Southwest Community Clinic Past Accepting new patients
Servicios Navarro LLC Past Accepting new patients
Southwest Total Medical Clinic Inc Family Medicine PastSince Oct 1, 2015 Accepting new patients
Pre Med Care Clinic, LLC Family Medicine Past Accepting new patients
Healthcare at Your Door Past Accepting new patients
Southeast Past Accepting new patients

Locations

6575 West Loop S
Bellaire, TX 77401
Phone (410) 301-1409

6655 Hillcroft Ave
Ste 105
Houston, TX 77081
Phone (713) 779-1633

6655 Hillcroft Ave
Ste 100
Houston, TX 77081
Phone (713) 663-6326

5373 W Alabama St
Houston, TX 77056
Phone (713) 779-1633

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFIDAD/Endpoint/GFIDAD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1023052164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9606 S RICE AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964136",
            "telephone_number": "713-779-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5373 W ALABAMA ST HOUSTON, TX 77056",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770415197",
            "telephone_number": "713-779-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URIBEBOTERO",
        "first_name": "GONZALO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "E1956",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "E1956",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E1956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137927302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.