Active NPI
Gildo Anthony Micheletti, MD
- Dermatology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- E2738
- Practice address
- 1213 Hermann Dr
#540
Houston, TX 77004 - Phone
- (713) 521-1137
- Fax
- (713) 520-9243
- NPI assigned
- Sep 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | E2738 | TX | Primary |
Addresses
Primary practice location
1213 Hermann Dr
#540
Houston, TX 77004
Mailing address
1213 Hermann Dr
#540
Houston, TX 77004
Phone (713) 521-1137
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00CB17 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 Binz St
Suite 200
Houston, TX 77004-8098
Phone (281) 333-3376
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 16 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E2738 | TX | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul M. Friedman, MD PA | Dermatology | Current | Accepting new patients |
| Dermatological Association of Texas, PLLC | Dermatology | Current | Accepting new patients |
| Mays MD PA | Dermatology | Past | Accepting new patients |
Locations
1401 Binz St
Ste 200
Houston, TX 77004
Phone (281) 333-3376
6400 Fannin St
Ste 2720
Houston, TX 77030
Phone (713) 900-3900
10907 Memorial Hermann Dr
Ste 170
Pearland, TX 77584
Phone (281) 864-3376
6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000
451 N Texas Ave
Webster, TX 77598
Phone (281) 333-2288
Organizations & group practices 3
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.
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- Dermatology Physician
- Houston, TX
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dba Dermatology & Laser Surgery Center
- Dermatology Physician
- Houston, TX
- NPI 1811299365
-
- Dermatology Physician
- Pearland, TX
- NPI 1225837222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392768000000",
"number": "1730281544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 HERMANN DR",
"address_2": "#540",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77004",
"telephone_number": "713-521-1137",
"fax_number": "713-520-9243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 HERMANN DR",
"address_2": "#540",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77004",
"telephone_number": "713-521-1137",
"fax_number": "713-520-9243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHELETTI",
"first_name": "GILDO",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-02",
"last_updated": "2014-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "E2738",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00CB17",
"state": "TX"
}
],
"endpoints": [],
"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 Feb 19, 2014; 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.