Active NPI
Vidyaratna A Fleetwood, M.D.
- Surgery Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- W0574
- Practice address
- 6620 Main St
Houston, TX 77030-2348 - Phone
- (832) 355-1400
- NPI assigned
- Jun 27, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transplant Surgery Physician | 204F00000X | 69614 | WI | |
| Transplant Surgery Physician | 204F00000X | 48730 | TX | |
| Surgery Physician | 208600000X | 125061738 | IL | |
| Surgery Physician | 208600000X | W0574 | TX | Primary |
| Transplant Surgery Physician | 204F00000X | 2020026557 | MO | |
| Surgery Physician | 208600000X | 48730 | TX | |
| Surgery Physician | 208600000X | 2020026557 | MO | |
| Surgery Physician | 208600000X | 69614 | WI |
Addresses
Primary practice location
6620 Main St
Houston, TX 77030-2348
Mailing address
727 Lorillard CT
Madison, WI 53703-3808
Other practice location 1
1225 S Grand Blvd Fl 3
Saint Louis, MO 63104-1016
Phone (314) 257-3760
Other practice location 2
1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone (314) 577-5351
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vfleetwood383158@direct-ehr-ssmhc.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201007001583 | MO | Practitioner - General Surgery | 8123325271 | Reassigns benefits to 1 organization |
| I20250613003380 | TX | Practitioner - General Surgery | 8123325271 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baylor College of Medicine
Practice addresses (Care Compare)
6620 Main St
Houston, TX 77030-2348
Phone (713) 798-2500
Hospital & facility affiliations
- Elara Caring
- Baylor St Lukes Medical Center
- SSM Health Saint Louis University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.94 of 100
- Quality
- 68.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48730 | TX | MD | Transplant Surgery Physician |
| W0574 | TX | MD | Surgery Physician |
| 69614 | WI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SLH Physicians LLC | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Baylor College of Medicine | Surgery | Current | Accepting new patients |
| SSM-Sluh Inc | Past | Accepting new patients | |
| SSM Medical Group Inc. | Past | Accepting new patients | |
| Cardiovascular Care Providers, Inc. | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| CHI St. Luke'S Health Baylor College of Medicine Medical Center | Past | Accepting new patients |
Locations
1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222
3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022
6620 Main St
Ste 1450
Houston, TX 77030
Phone (713) 798-7500
6620 Main St
Houston, TX 77030
Phone (713) 520-8432
7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924
1 Baylor Plz
#2
Houston, TX 77030
17450 St Lukes Way
Ste 340
The Woodlands, TX 77384
Phone (936) 266-2645
Organizations & group practices 12
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.
-
- Orthopaedic Surgery Physician
- Sugar Land, TX
- NPI 1700683844
-
- Family Medicine Physician
- Houston, TX
- NPI 1023413713
-
- Orthopaedic Surgery Physician
- Houston, TX
- NPI 1093280463
-
- Family Medicine Physician
- Houston, TX
- NPI 1437554136
-
- Orthopaedic Surgery Physician
- Houston, TX
- NPI 1851139240
-
- Specialist
- Houston, TX
- NPI 1437242617
-
- General Acute Care Hospital
- Houston, TX
- NPI 1184622847
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- Durable Medical Equipment & Medical Supplies
- Fenton, MO
- NPI 1124579966
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1942685920
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Houston, TX
- NPI 1154767168
-
- General Acute Care Hospital
- Houston, TX
- NPI 1184622847
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1649534231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "727 LORILLARD CT",
"city": "MADISON",
"state": "WI",
"postal_code": "537033808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6620 MAIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302348",
"telephone_number": "832-355-1400"
}
],
"practiceLocations": [
{
"address_1": "1225 S Grand Blvd Fl 3",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631041016",
"country_code": "US",
"telephone_number": "314-257-3760",
"fax_number": "314-257-3761",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1465 S Grand Blvd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631041003",
"country_code": "US",
"telephone_number": "314-577-5351",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLEETWOOD",
"first_name": "VIDYARATNA",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-27",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "WI",
"license": "69614",
"primary": false
},
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "TX",
"license": "48730",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "125061738",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "W0574",
"primary": true
},
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "MO",
"license": "2020026557",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "48730",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "2020026557",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "69614",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vfleetwood383158@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "vfleetwood383158@direct-ehr-ssmhc.com",
"address_1": "1225 S Grand Blvd Fl 3",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631041016",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.