Active NPI
Gary Andrew Dildy III, M.D.
- Maternal & Fetal Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 184517-1205
- Practice address
- 6651 Main Street
Suite F1040
Houston, TX 77030 - Phone
- (832) 826-7375
- Fax
- (832) 825-7948
- NPI assigned
- Jan 15, 2007
- Last updated
- Jul 23, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 184517-1205 | UT | Primary |
Addresses
Primary practice location
6651 Main Street
Suite F1040
Houston, TX 77030
Mailing address
6651 Main Street
Suite F1040
Houston, TX 77030
Phone (832) 826-7375
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 184517-8905 | Other | UT | MEDICAL LICENSE |
| 003671100 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Tulane University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1027 Bellevue Ave
FL 2
Saint Louis, MO 63117-1996
Phone (314) 768-8730
211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
Phone (573) 331-5511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 184517-1205 | UT | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care St Louis | Current | Accepting new patients | |
| SSM Health Care Group | Current | Accepting new patients | |
| Saint Francis Medical Center | Current | Accepting new patients | |
| SSM Health Care St. Louis | Current | Accepting new patients | |
| SSM Health Care St. Louis | Current | Accepting new patients | |
| Saint Francis Medical Center | Current | Accepting new patients | |
| SSM Health Care Group | Current | Accepting new patients | |
| Saint Francis Medical Center | Current | Accepting new patients | |
| Ferguson Medical Group Rural Health Center Inc. | Past | Accepting new patients | |
| Maternal Fetal Services of Utah LLC | Maternal & Fetal Medicine | Past | Accepting new patients |
| Methodist Physician Practices, PLLC | Maternal & Fetal Medicine | Past | Accepting new patients |
| SSM Health Care St. Louis | Past | Accepting new patients |
Locations
900 E Walnut St
Ste 5
Carbondale, IL 62901
Phone (618) 519-9182
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
1191 Fortune Blvd
Ste 1
Shiloh, IL 62269
Phone (618) 206-6101
211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
1027 Bellevue Ave
Fl 2
Saint Louis, MO 63117
Phone (314) 768-8064
1031 Bellevue Ave
Ste 400
Saint Louis, MO 63117
1173 Corporate Lake Dr
Saint Louis, MO 63132
Interoperability endpoints
- gdildy409799@direct-ehr-ssmhc.com
- https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Saint Francis Medical Center Anesthesia
- Anesthesiology Physician
- Cape Girardeau, MO
- NPI 1356304489
-
dba SLUCare Physician Group
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
-
dba SSM Health St Clare Fenton
- Emergency Medicine Physician
- Fenton, MO
- NPI 1275586174
-
dba SSM Health St. Mary's Hospital Physician Billing
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1366400855
IL
-
- Internal Medicine Physician
- Cape Girardeau, MO
- NPI 1578513016
-
dba Saint Francis Clinic Jackson
- Clinic/Center
- Jackson, MO
- NPI 1992502975
-
dba SLUCare Physician Group
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
-
dba SSM Health DePaul Hospital
- Cardiovascular Disease Physician
- Bridgeton, MO
- NPI 1376598599
-
- Surgery Physician
- San Antonio, TX
- NPI 1922252717
Maternal & Fetal Medicine
-
- Family Medicine Physician
- Scott City, MO
- NPI 1245361427
-
- Maternal & Fetal Medicine Physician
- Salt Lake City, UT
- NPI 1457393084
-
dba SSM Health St. Mary's Hospital - St. Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1962572396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343001600000",
"number": "1083765226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6651 MAIN STREET",
"address_2": "SUITE F1040",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "832-826-7375",
"fax_number": "832-825-7948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6651 MAIN STREET",
"address_2": "SUITE F1040",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "832-826-7375",
"fax_number": "832-825-7948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILDY",
"first_name": "GARY",
"middle_name": "ANDREW",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2012-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "UT",
"license": "184517-1205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "184517-8905",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003671100",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.