Individual provider Active NPI

Cyril E Gillman, M.D.

  • Emergency Medicine Physician
  • Houston, TX
National Provider Identifier
1326024654
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
L8700 Issued in TX
Practice address
13111 East Fwy
Houston, TX 77015-5820
Phone
(713) 393-2000
Fax
(713) 393-2714
NPI assigned
Dec 19, 2005
Last updated
Mar 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X L8700 TX Primary

Addresses

Primary practice location

13111 East Fwy
Houston, TX 77015-5820

Mailing address

PO Box 200993
Houston, TX 77216-0993
Phone (281) 784-1111

Other identifiers 4

IdentifierTypeStateIssuer
168727901MedicaidTX
1326024654OtherTXBCBSTX
8G4117OtherTXBCBSTX PROV NO
1326024654OtherTXTRICARE SOUTH

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
I20041122000440 TX Practitioner - Emergency Medicine 0648261602 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L8700TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Round Table Specialist Group, PLLC Emergency Medicine Current Accepting new patients
TK Emergency Physicians Group PLLC Emergency Medicine CurrentSince May 15, 2019 Accepting new patients
Round Table Physicians Group PLLC CurrentSince Aug 1, 2024 Accepting new patients
Steven Remsen, MD PA Emergency Medicine Past Accepting new patients
Greater Houston Emergency Physicians PLLC Emergency Medicine Past Accepting new patients

Locations

5701 W Slaughter Ln
Bldg G
Austin, TX 78749
Phone (512) 651-5787

1626 W Baker Rd
Baytown, TX 77521
Phone (281) 628-7300

14120 FM 2100 Rd
Crosby, TX 77532
Phone (281) 328-7770

1535 West Loop S
Houston, TX 77027
Phone (713) 961-0423

11103 Westheimer Rd
Houston, TX 77042
Phone (832) 708-3651

1014 Wirt Rd
Ste 200
Houston, TX 77055
Phone (713) 527-5000

800 W Central Texas Expy
Killeen, TX 76541
Phone (254) 220-4117

1120 Kingwood Dr
Kingwood, TX 77339
Phone (281) 358-8488

11233 Shadow Creek Pkwy
Ste 313
Pearland, TX 77584
Phone (346) 352-5100

22678 Highway 59
Porter, TX 77365
Phone (281) 354-4654

Organizations & group practices 5

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268956800000",
    "number": "1326024654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200993",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772160993",
            "telephone_number": "281-784-1111",
            "fax_number": "281-784-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 EAST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770155820",
            "telephone_number": "713-393-2000",
            "fax_number": "713-393-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLMAN",
        "first_name": "CYRIL",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2010-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L8700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168727901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "1326024654",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX PROV NO",
            "identifier": "8G4117",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "1326024654",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.