NPIMap

Individual provider Active NPI

Donald F Gardner, MD

  • Specialist
  • Houston, TX
National Provider Identifier
1174616619
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G5909 Issued in TX
Practice address
1140 Business Center Dr
Ste 550
Houston, TX 77043-2737
Phone
(713) 984-8200
Fax
(713) 984-1113
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G5909 TX Primary

Addresses

Primary practice location

1140 Business Center Dr
Ste 550
Houston, TX 77043-2737

Mailing address

1140 Business Center Dr
Ste 550
Houston, TX 77043-2737
Phone (713) 984-8200

Other identifiers 5

IdentifierTypeStateIssuer
760191917OtherTXTAX ID
114356202MedicaidTX
00QG37OtherTXBCBS
1043401193OtherTXGROUP
1174616619OtherTXBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@memcityendo.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050518000409 TX Practitioner - Endocrinology 0547201725 Reassigns benefits to 1 organization
Receives reassigned benefits from 3 practitioners
Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Endocrinology and DiabetesGroup PAC ID 9739120916, 3 clinicians

Practice addresses (Care Compare)

1140 Business Ctr
Dr 550
Houston, TX 77043-2742

1140 Business Ctr Dr
Houston, TX 77043-2742
Phone (713) 984-8200

Hospital & facility affiliations

  • Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610
  • Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847
  • Columbus Community Hospital Hospital, Columbus, TX, CCN 450370
  • Houston Methodist West Hospital Hospital, Houston, TX, CCN 670077
  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G5909TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Endocrinology and Diabetes Specialist CurrentSince Jan 1, 2005 Accepting new patients

Locations

1140 Business Center Dr
Ste 550
Houston, TX 77043
Phone (713) 984-8200

909 Frostwood Dr
Ste 224
Houston, TX 77024
Phone (713) 984-8200

Interoperability endpoints

  • Direct secure messaging: dgardner65764@memorialhermann.direct-ci.com

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1174616619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 BUSINESS CENTER DR",
            "address_2": "STE 550",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770432737",
            "telephone_number": "713-984-8200",
            "fax_number": "713-984-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BUSINESS CENTER DR",
            "address_2": "STE 550",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770432737",
            "telephone_number": "713-984-8200",
            "fax_number": "713-984-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "DONALD",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G5909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "760191917",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114356202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00QG37",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "1043401193",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1174616619",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@memcityendo.com",
            "affiliation": "N",
            "address_1": "1140 Business Center Dr",
            "address_2": "Ste 550",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770432737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.