Individual provider Active NPI

Gary Andrew Dildy III, M.D.

  • Maternal & Fetal Medicine Physician
  • Houston, TX
National Provider Identifier
1083765226
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
184517-1205 Issued in UT
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
184517-8905OtherUTMEDICAL LICENSE
003671100MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220216001981 MO Practitioner - Obstetrics/Gynecology 1759304157 Reassigns benefits to 3 organizations
I20230816002983 IL Practitioner - Obstetrics/Gynecology 1759304157 Reassigns benefits to 1 organization

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
SSM Health Care GroupGroup PAC ID 0143608372, 929 clinicians
Saint Francis Medical CenterGroup PAC ID 9931007929, 441 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
184517-1205UTMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St Louis CurrentSince May 1, 2022 Accepting new patients
SSM Health Care Group CurrentSince Jul 1, 2022 Accepting new patients
Saint Francis Medical Center Current Accepting new patients
SSM Health Care St. Louis CurrentSince Jul 4, 2023 Accepting new patients
SSM Health Care St. Louis CurrentSince May 1, 2022 Accepting new patients
Saint Francis Medical Center CurrentSince Aug 14, 2023 Accepting new patients
SSM Health Care Group CurrentSince Jul 1, 2022 Accepting new patients
Saint Francis Medical Center CurrentSince Aug 14, 2023 Accepting new patients
Ferguson Medical Group Rural Health Center Inc. Past Accepting new patients
Maternal Fetal Services of Utah LLC Maternal & Fetal Medicine PastSince Sep 30, 2017 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

  • Direct secure messaging: gdildy409799@direct-ehr-ssmhc.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.