Individual provider Active NPI

Gustavo A Grieco, M.D.

  • Cardiovascular Disease Physician
  • Houston, TX
National Provider Identifier
1073539755
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
J2039 Issued in TX
Practice address
17400 Red Oak Dr
Houston, TX 77090-1246
Phone
(281) 893-8640
Fax
(281) 893-5976
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X J2039 TX
Cardiovascular Disease Physician 207RC0000X J2039 TX Primary

Addresses

Primary practice location

17400 Red Oak Dr
Houston, TX 77090-1246

Mailing address

17400 Red Oak Dr
Houston, TX 77090-1246
Phone (281) 893-8640

Other practice location 1

920 Medical Plaza Dr Ste 500
Shenandoah, TX 77380-3204
Phone (713) 897-7221

Other practice location 2

9180 Pinecroft Dr Ste 400
Shenandoah, TX 77380-3899
Phone (713) 897-7221

Other practice location 3

21301 Kuykendahl Rd Ste F
Spring, TX 77379-2614
Phone (713) 897-7221

Other practice location 4

9305 Pinecroft Dr Ste 300
The Woodlands, TX 77380-3482
Phone (713) 897-7221

Other practice location 5

1125 Cypress Station Dr Ste F4
Houston, TX 77090-3055
Phone (713) 897-7221

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
I20090303000440 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5991701153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Hermann Medical GroupGroup PAC ID 7012008360, 760 clinicians

Practice addresses (Care Compare)

1801 N Loop W
Suite 30
Houston, TX 77008-1445
Phone (713) 802-9781

7474 N Grand Pkwy W
Suite 400
Spring, TX 77379-1571
Phone (832) 717-7825

915 Gessner Rd
Suite 100
Houston, TX 77024-2537
Phone (713) 242-2222

9180 Pinecroft Dr
Shenandoah, TX 77380-3899

9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (713) 897-2307

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684
  • Tyler County Hospital Hospital, Woodville, TX, CCN 450460

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Medical Group Cardiovascular Disease CurrentSince Jul 1, 2011 Accepting new patients

Locations

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

1125 Cypress Station Dr
Ste F4
Houston, TX 77090
Phone (713) 897-7221

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

920 Medical Plaza Dr
Ste 500
Shenandoah, TX 77380
Phone (281) 363-2426

9180 Pinecroft Dr
Ste 400
Shenandoah, TX 77380
Phone (713) 897-7221

21301 Kuykendahl Rd
Ste F
Spring, TX 77379
Phone (281) 374-0011

9305 Pinecroft Dr
Ste 300
The Woodlands, TX 77380
Phone (713) 486-6540

Interoperability endpoints

  • Direct secure messaging: ggrieco65825@memorialhermann.direct-ci.com

Organizations & group practices 1

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1073539755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17400 RED OAK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770901246",
            "telephone_number": "281-893-8640",
            "fax_number": "281-893-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17400 RED OAK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770901246",
            "telephone_number": "281-893-8640",
            "fax_number": "281-893-5976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Medical Plaza Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773803204",
            "country_code": "US",
            "telephone_number": "713-897-7221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9180 Pinecroft Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773803899",
            "country_code": "US",
            "telephone_number": "713-897-7221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21301 Kuykendahl Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773792614",
            "country_code": "US",
            "telephone_number": "713-897-7221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9305 Pinecroft Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773803482",
            "country_code": "US",
            "telephone_number": "713-897-7221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 Cypress Station Dr Ste F4",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770903055",
            "country_code": "US",
            "telephone_number": "713-897-7221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIECO",
        "first_name": "GUSTAVO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "J2039",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "J2039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.