Active NPI
Gladstone Ehiametalor Airewele, M.D.
- Pediatric Hematology & Oncology Physician
- Houston, TX
National Provider Identifier
1285630244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- K8706
- Practice address
- 6701 Fannin
Houston, TX 77030 - Phone
- (832) 822-4890
- Fax
- (832) 825-1449
- NPI assigned
- Jun 23, 2005
- 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 |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | K8706 | TX | Primary |
Addresses
Primary practice location
6701 Fannin
Houston, TX 77030
Mailing address
Two Greenway Plaza
Suite 900
Houston, TX 77046
Phone (713) 798-1750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106153302 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K8706 | TX | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Past | Accepting new patients | |
| Texas Children'S Physician Group | Past | Accepting new patients |
Interoperability endpoints
- gairewele5818@prddirect.texaschildrens.org
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Houston, TX
- NPI 1164463287
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314748800000",
"number": "1285630244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "TWO GREENWAY PLAZA",
"address_2": "SUITE 900",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77046",
"telephone_number": "713-798-1750",
"fax_number": "713-798-1187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 FANNIN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "832-822-4890",
"fax_number": "832-825-1449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AIREWELE",
"first_name": "GLADSTONE",
"middle_name": "EHIAMETALOR",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2011-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "TX",
"license": "K8706",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106153302",
"state": "TX"
}
],
"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 Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.