Individual provider Active NPI

Vidyaratna A Fleetwood, M.D.

  • Surgery Physician
  • Houston, TX
National Provider Identifier
1649534231
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
W0574 Issued in TX
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

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address vfleetwood383158@direct-ehr-ssmhc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201007001583 MO Practitioner - General SurgeryPractitioner - Other (Physician) 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 MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

6620 Main St
Houston, TX 77030-2348
Phone (713) 798-2500

Hospital & facility affiliations

  • Elara Caring Home health agency, Pasadena, TX, CCN 679786
  • Baylor St Lukes Medical Center Hospital, Houston, TX, CCN 450193
  • SSM Health Saint Louis University Hospital Hospital, Saint Louis, MO, CCN 260105

Merit-based Incentive Payment System (MIPS)

Final score
84.94 of 100Reported as group
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

LicenseStateTypeSpecialty
48730TXMDTransplant Surgery Physician
W0574TXMDSurgery Physician
69614WIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SLH Physicians LLC CurrentSince Sep 1, 2020 Accepting new patients
Baylor College of Medicine CurrentSince Jun 4, 2025 Accepting new patients
Baylor College of Medicine Surgery CurrentSince Jun 4, 2025 Accepting new patients
SSM-Sluh Inc Past Accepting new patients
SSM Medical Group Inc. PastSince Mar 1, 2021 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.