Individual provider Active NPI

Kelly Gilmore, MD

  • Colon & Rectal Surgery Physician
  • Houston, TX
National Provider Identifier
1962697417
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
M7213 Issued in TX
Practice address
6550 Fannin St
Ste 2307
Houston, TX 77030-2717
Phone
(713) 790-9250
NPI assigned
Sep 7, 2007
Last updated
Oct 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X M7213 TX Primary

Addresses

Primary practice location

6550 Fannin St
Ste 2307
Houston, TX 77030-2717

Mailing address

508 Medical Center Blvd Ste 150
Conroe, TX 77304-2845
Phone (936) 494-2201

Other identifiers 1

IdentifierTypeStateIssuer
190579602MedicaidTX

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
I20080218000162 TX Practitioner - Colorectal Surgery (Proctology) 3678656451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 586-2456

500 Medical Ctr Blvd
Suite 340
Conroe, TX 77304-2899
Phone (833) 437-1707

7848 Gateway Blvd E
El Paso, TX 79915-1815
Phone (915) 599-1313

925 Gessner Rd
Suite 550
Houston, TX 77024-2843
Phone (713) 467-1722

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy39
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Specialists of Clear Lake PLLC CurrentSince Apr 1, 2014 Accepting new patients
Texas Oncology PA CurrentSince Aug 1, 2021 Accepting new patients
Texas Oncology PA Current Accepting new patients
Texas Oncology PA CurrentSince Aug 1, 2021 Accepting new patients
Ut Physicians Past Accepting new patients
Gretchen M Zimmerman, MD, PA Past Accepting new patients

Locations

2231 Center St
Ste D
Deer Park, TX 77536
Phone (281) 249-2273

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

925 Gessner Rd
Ste 550
Houston, TX 77024
Phone (713) 467-1722

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

450 W Medical Center Blvd
Ste 600
Webster, TX 77598
Phone (281) 338-3270

Interoperability endpoints

  • Direct secure messaging: kelly.gilmore.1@421.direct.athenahealth.com
  • Direct secure messaging: kelly.gilmorelynch@hca9.eclinicaldirectplus.com

Organizations & group practices 6

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 3

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": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1962697417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 MEDICAL CENTER BLVD STE 150",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042845",
            "telephone_number": "936-494-2201",
            "fax_number": "936-494-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST",
            "address_2": "STE 2307",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302717",
            "telephone_number": "713-790-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "KELLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "M7213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190579602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.