Active NPI
Gustavo Vilchez Lagos, M.D.
- Maternal & Fetal Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 2015006483
- Practice address
- 6410 Fannin St Ste 210
Houston, TX 77030-3004 - Phone
- (713) 500-7780
- NPI assigned
- Aug 11, 2011
- Last updated
- Apr 18, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301098079 | MI | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 2015006483 | MO | Primary |
Addresses
Primary practice location
6410 Fannin St Ste 210
Houston, TX 77030-3004
Mailing address
6431 Fannin St Ste 3.286
Houston, TX 77030-1501
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
- Obstetrics/Gynecology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6410 Fannin St
Suite 250
Houston, TX 77030-3004
Phone (832) 325-7131
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301098079 | MI | MD | Obstetrics & Gynecology Physician |
| 2015006483 | MO | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Obstetrics & Gynecology | Current | Accepting new patients |
| Ut Physicians | Current | Accepting new patients |
Locations
6410 Fannin St
Ste 135
Houston, TX 77030
6410 Fannin St
Ste 210
Houston, TX 77030
Phone (832) 325-7288
6410 Fannin St
Ste 250
Houston, TX 77030
Phone (713) 500-4360
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1871872580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6431 FANNIN ST STE 3.286",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 FANNIN ST STE 210",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303004",
"telephone_number": "713-500-7780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILCHEZ LAGOS",
"first_name": "GUSTAVO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-11",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301098079",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "MO",
"license": "2015006483",
"primary": true
}
],
"identifiers": [],
"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 Apr 18, 2024; 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.