Individual provider Active NPI

Lauren Ann Gillory, M.D.

  • Pediatric Surgery Physician
  • Dallas, TX
National Provider Identifier
1871754135
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
Q4958 Issued in TX
Practice address
5323 Harry Hines Blvd
Dallas, TX 75390-1900
Phone
(214) 648-4081
NPI assigned
Jun 19, 2008
Last updated
May 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Surgery Physician 2086S0120X Q4958 TX Primary

Addresses

Primary practice location

5323 Harry Hines Blvd
Dallas, TX 75390-1900

Mailing address

619 19TH St S
Birmingham, AL 35249-1900

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
I20200903002758 TX Practitioner - General Surgery 0042637142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q4958TXMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Oct 1, 2020 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Pediatric Surgery CurrentSince Oct 1, 2020 Accepting new patients
Texas Scottish Rite Hospital for Crippled Children CurrentSince Jul 12, 2023 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Children's Health System of Texas Past Accepting new patients

Locations

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

2222 Welborn St
Dallas, TX 75219
Phone (214) 559-5000

12400 Dallas Pkwy
Frisco, TX 75033
Phone (469) 495-2000

12500 Dallas Pkwy
Frisco, TX 75033
Phone (469) 604-9000

3800 Gaylord Pkwy
Ste 850
Frisco, TX 75034
Phone 4698572222 ext. 72222

5700 Dallas Pkwy
Frisco, TX 75034
Phone (469) 515-7100

3621 22nd St
Ste 400
Lubbock, TX 79410
Phone (806) 791-8484

420 E 6th St
Ste 202
Odessa, TX 79761
Phone (214) 648-9618

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1871754135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352491900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753901900",
            "telephone_number": "214-648-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLORY",
        "first_name": "LAUREN",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "TX",
            "license": "Q4958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.