Individual provider Active NPI

Gaile Vitug, DO

  • Pediatrics Physician
  • Sugar Land, TX
National Provider Identifier
1972965192
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
S1727 Issued in TX
Practice address
17402 W Grand Pkwy S Ste 300
Sugar Land, TX 77479-7290
Phone
(346) 843-6470
NPI assigned
Mar 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X S1727 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

17402 W Grand Pkwy S Ste 300
Sugar Land, TX 77479-7290

Mailing address

930 Frostwood Dr Ste 2.200
Houston, TX 77024-2450

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Gaile.M.Vitug@direct.memorialhermann.org

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
I20190905001719 TX Practitioner - Pediatric Medicine 2264731074 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Medical Group Pediatrics CurrentSince Sep 2, 2019 Accepting new patients

Locations

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

930 Frostwood Dr
Ste 2200
Houston, TX 77024

909 Frostwood Dr
Fl 1
Houston, TX 77024

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

17402 W Grand Pkwy S
Ste 300
Sugar Land, TX 77479
Phone (346) 843-6470

17520 W Grand Pkwy S
Ste 300
Sugar Land, TX 77479
Phone (281) 725-5855

Interoperability endpoints

  • Direct secure messaging: gvitug67021@memorialhermann.direct-ci.com
  • Direct secure messaging: gaile.m.vitug@direct.memorialhermann.org

Organizations & group practices 1

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": "1458950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1972965192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 FROSTWOOD DR STE 2.200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17402 W GRAND PKWY S STE 300",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774797290",
            "telephone_number": "346-843-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITUG",
        "first_name": "GAILE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-26",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S1727",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Gaile.M.Vitug@direct.memorialhermann.org",
            "affiliation": "N",
            "address_1": "17520 W Grand Pkwy S Ste 300",
            "city": "Sugar Land",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774794759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.