Individual provider Active NPI

Mary Catherine Gibson, M.D.

  • Rheumatology Physician
  • Houston, TX
National Provider Identifier
1316233133
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
Q6748 Issued in TX
Practice address
2204 Austin St Ste 200
Houston, TX 77002-8912
Phone
(713) 640-5477
Fax
(713) 640-5872
NPI assigned
Jun 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X Q6748 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 2011016791 MO

Addresses

Primary practice location

2204 Austin St Ste 200
Houston, TX 77002-8912

Mailing address

2204 Austin St
Houston, TX 77002-8912
Phone (713) 640-5477

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
I20160531000950 TX Practitioner - RheumatologyPractitioner - Internal Medicine 6709014798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
University of Texas Medical School at Houston, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Rheumatology Center of Houston, PLLCGroup PAC ID 3779767074, 3 clinicians

Practice addresses (Care Compare)

1200 Binz St
Suite 1495
Houston, TX 77004-6938
Phone (713) 640-5477

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Center of Houston, PLLC Rheumatology CurrentSince Jul 5, 2023 Accepting new patients

Locations

1200 Binz St
Ste 1495
Houston, TX 77004
Phone (713) 640-5477

2204 Austin St
Ste 200
Houston, TX 77002
Phone (713) 640-5477

10907 Memorial Hermann Dr
Ste 300
Pearland, TX 77584
Phone (713) 640-5477

Interoperability endpoints

  • Direct secure messaging: mgibson13378@direct.uth.org
  • Direct secure messaging: mgibson19998@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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1316233133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 AUSTIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028912",
            "telephone_number": "713-640-5477",
            "fax_number": "713-640-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 AUSTIN ST STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028912",
            "telephone_number": "713-640-5477",
            "fax_number": "713-640-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "Q6748",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2011016791",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.