Individual provider Active NPI

Gildo Anthony Micheletti, MD

  • Dermatology Physician
  • Houston, TX
National Provider Identifier
1730281544
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
E2738 Issued in TX
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

Updated by the provider on Feb 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00CB17MedicaidTX

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
I20111229000127 TX Practitioner - Dermatology 9931375763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatological Association of Texas PLLCGroup PAC ID 7113944679, 4 clinicians

Practice addresses (Care Compare)

1401 Binz St
Suite 200
Houston, TX 77004-8098
Phone (281) 333-3376

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions16
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E2738TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paul M. Friedman, MD PA Dermatology CurrentSince Mar 6, 2014 Accepting new patients
Dermatological Association of Texas, PLLC Dermatology CurrentSince Jan 1, 2025 Accepting new patients
Mays MD PA Dermatology PastSince Mar 20, 2025 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.

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

Verify at the official NPI Registry.