Individual provider Active NPI

Daniel Ray Garlitos, MD

  • Radiation Oncology Physician
  • Lake Jackson, TX
National Provider Identifier
1386629574
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
K7742 Issued in TX
Practice address
100B Medical Dr
Lake Jackson, TX 77566-5674
Phone
(979) 297-9268
Fax
(979) 297-9331
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X K7742 TX Primary

Addresses

Primary practice location

100B Medical Dr
Lake Jackson, TX 77566-5674

Mailing address

100B Medical Dr
Lake Jackson, TX 77566-5674
Phone (979) 297-9268

Other identifiers 8

IdentifierTypeStateIssuer
00250TOtherTXGROUP MEDICARE PIN
1590648-01OtherTXMEDICAID GROUP
1590473-01OtherTXMEDICAID GROUP
029882004MedicaidTX
00251TOtherTXGROUP MEDICARE PIN
029882005MedicaidTX
8BP367OtherTXBCBS
P00695492OtherTXRAILROAD MEDICARE

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
I20050228000705 TX Practitioner - Radiation Oncology 8820996119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Texas Medical Branch at Galveston, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Metro UrologyGroup PAC ID 3971508235, 31 clinicians

Practice addresses (Care Compare)

100 B Medical Dr
Lake Jackson, TX 77566-5674
Phone (979) 297-9268

4223 Richmond Ave
Suite 200
Houston, TX 77027-6856
Phone (713) 634-4477

Hospital & facility affiliations

  • CHI St Luke'S Health Brazosport Hospital, Lake Jackson, TX, CCN 450072
  • Matagorda Regional Medical Center Hospital, Bay City, TX, CCN 450465
  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018
  • Sweeny Community Hospital Hospital, Sweeny, TX, CCN 451311
  • Baylor St Lukes Medical Center Hospital, Houston, TX, CCN 450193

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K7742TXMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Radiation Oncology PLLC Radiation Oncology Current Accepting new patients
Houston Metro Urology CurrentSince Nov 27, 2023 Accepting new patients
Third Coast Radiation Oncology Association Radiation Oncology Past Accepting new patients

Locations

4223 Richmond Ave
Houston, TX 77027
Phone (713) 351-0630

4223 Richmond Ave
Ste 200
Houston, TX 77027
Phone (713) 634-4477

1220 Blalock Rd
Ste 100
Houston, TX 77055
Phone (713) 464-3343

6560 Fannin St
Ste 1440
Houston, TX 77030
Phone (713) 523-7843

100B Medical Dr
Lake Jackson, TX 77566
Phone (979) 297-6401

Interoperability endpoints

  • Direct secure messaging: daniel.garlitos.1@15454.direct.athenahealth.com

Organizations & group practices 4

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 5

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1386629574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100B MEDICAL DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665674",
            "telephone_number": "979-297-9268",
            "fax_number": "979-297-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100B MEDICAL DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665674",
            "telephone_number": "979-297-9268",
            "fax_number": "979-297-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLITOS",
        "first_name": "DANIEL",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "K7742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PIN",
            "identifier": "00250T",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "1590648-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "1590473-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029882004",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PIN",
            "identifier": "00251T",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029882005",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8BP367",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00695492",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

Verify at the official NPI Registry.