Individual provider Active NPI

Robert Carl Dillard III, D.O.

  • Surgery Physician
  • Kingwood, TX
National Provider Identifier
1699157792
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
T1343 Issued in TX
Practice address
22999 Hwy 59 N Ste B220
Kingwood, TX 77339-4460
Phone
(281) 516-8184
NPI assigned
Jun 24, 2015
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X T1343 TX Primary

Addresses

Primary practice location

22999 Hwy 59 N Ste B220
Kingwood, TX 77339-4460

Mailing address

22999 Hwy 59 N Ste B220
Kingwood, TX 77339-4460
Phone (281) 516-8184

Other practice location 1

12121 Richmond Ave Ste 103
Houston, TX 77082-2420
Phone (281) 516-8184

Other identifiers 2

IdentifierTypeStateIssuer
T1343OtherTXTEXAS BOARD OF MEDICINE
OS020594OtherPAPENNSYLVANIA OSTEOPATHIC BOARD OF MEDICINE

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
I20211019000634 TX Practitioner - General Surgery 4587083662 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
William Carey University College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Texas Surgical Specialists PLLCGroup PAC ID 8921364100, 32 clinicians

Practice addresses (Care Compare)

22999 Hwy 59 N
Suite B220
Kingswood, TX 77339-4460
Phone (281) 516-8184

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.1 of 100Reported as group
Quality
77.19
Promoting interoperability
98
Improvement activities
40
Cost
79.03

Merit-based Incentive Payment System (MIPS)

Final score
82.42 of 100Reported as group
Quality
55.48
Promoting interoperability
88
Improvement activities
40
Cost
74.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T1343TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Best Care Clinic Surgery CurrentSince Oct 12, 2021 Accepting new patients
North Texas Surgical Specialists PLLC Surgery CurrentSince Jan 1, 2024 Accepting new patients

Locations

601 Omega Dr
Ste 203
Arlington, TX 76014
Phone (469) 445-0779

800 8th Ave
Ste 306
Fort Worth, TX 76104
Phone (817) 336-1300

12121 Richmond Ave
Ste 103
Houston, TX 77082
Phone (281) 516-8184

4009 Bellaire Blvd
Ste K
Houston, TX 77025
Phone (713) 576-6903

22999 Highway 59 N
Ste B220
Kingwood, TX 77339
Phone (281) 516-8184

2700 W Pleasant Run Rd
Ste 370
Lancaster, TX 75146
Phone (469) 206-4515

2302 Lone Star Rd
Ste 160
Mansfield, TX 76063
Phone (817) 871-9069

10970 Shadow Creek Pkwy
Ste 250
Pearland, TX 77584
Phone (281) 557-0300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDABBD

Organizations & group practices 2

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 2

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": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1699157792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22999 HWY 59 N STE B220",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394460",
            "telephone_number": "281-516-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22999 HWY 59 N STE B220",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394460",
            "telephone_number": "281-516-8184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12121 Richmond Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770822420",
            "country_code": "US",
            "telephone_number": "281-516-8184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "ROBERT",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-24",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "T1343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF MEDICINE",
            "identifier": "T1343",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA OSTEOPATHIC BOARD OF MEDICINE",
            "identifier": "OS020594",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.