NPIMap

Individual provider Active NPI

Gildardo Ceballos, M.D.

  • Internal Medicine Physician
  • Sugar Land, TX
National Provider Identifier
1689956906
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P0357 Issued in TX
Practice address
6410 Hwy 90 Alt
Suite D
Sugar Land, TX 77479
Phone
(713) 468-0880
Fax
(713) 234-4018
NPI assigned
Sep 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P0357 TX Primary

Addresses

Primary practice location

6410 Hwy 90 Alt
Suite D
Sugar Land, TX 77479

Mailing address

11606 Westmoor Dr
Richmond, TX 77407-2990
Phone (713) 468-0880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120827000809 TX Practitioner - Internal MedicinePractitioner - Family Practice 0941457964 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6410 Hwy 90a
Sugar Land, TX 77498-3313
Phone (832) 249-0440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oakbend Medical Group CurrentSince Aug 1, 2014 Accepting new patients
Destiny Hospice LLC Current Accepting new patients
Oakbend Medical Group Internal Medicine CurrentSince Aug 1, 2014 Accepting new patients
Care4U Clinic PLLC Internal Medicine CurrentSince Apr 17, 2024 Accepting new patients
Oakbend Medical Center Past Accepting new patients
Oakbend Medical Center Past Accepting new patients
Winnie-Stowell Hospital District Past Accepting new patients

Locations

6410 Highway 90A
Ste D
Sugar Land, TX 77498
Phone (713) 468-0880

6909 Brisbane Ct
Ste 300
Sugar Land, TX 77479
Phone (281) 801-7855

4911 Sandhill Dr
Sugar Land, TX 77479
Phone (281) 238-7870

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Destiny Hospice LLCHouston, TX, CCN 971688 Hospice Contracted Managing Employee (40%) Feb 22, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 11

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": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1689956906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11606 WESTMOOR DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072990",
            "telephone_number": "713-468-0880",
            "fax_number": "713-234-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 HWY 90 ALT",
            "address_2": "SUITE D",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77479",
            "telephone_number": "713-468-0880",
            "fax_number": "713-234-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEBALLOS",
        "first_name": "GILDARDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-13",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P0357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.