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MONIQUE D. GILLMAN MD
NPI 1154367829
Obstetrics & Gynecology in Houston, TX

Active since June 21, 2006PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
6410 FANNIN ST STE 350, HOUSTON, TX 77030(832) 325-7131(713) 512-2216 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Monique D. Gillman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONIQUE D. GILLMAN MD (NPI 1154367829) is an individual obstetrics & gynecology provider in Houston, Texas, licensed in Texas (Q2551) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (2001).

NPPES Registry Identity

NPI1154367829
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMONIQUE D. GILLMANCredential: MD
Location Address6410 FANNIN ST STE 350Houston, TX 77030-3004
Mailing Address6410 Fannin St Ste 350Houston, TX 77030-3004 · (832) 325-7131 · Fax (713) 512-2216
Phone(832) 325-7131
Fax(713) 512-2216
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2001
Enumeration DateJune 21, 2006
Last NPPES UpdateNovember 25, 2020
NPPES CertifiedNovember 25, 2020
✔ NPI 1154367829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · Q2551
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
6410 FANNIN ST STE 350, Houston, TX 77030
Open in Google Maps ↗

Other Identifiers 15

Other1154367829VA · Cigna
Other1154367829VA · Sedgwick Cms
Other1154367829VA · Coventry Network
Medicaid1154367829VA
Other1154367829VA · United Healthcare
Other1154367829VA · Virginia Premier Health Plan
Other1154367829VA · Usa Managed Care
Other-027VA · Tricare/champus
Medicaid1154368729NC
Other1154367829VA · Corvel
Other530684VA · Anthem Bc/bs
Other1154367829VA · Virginia Health Network
Other1154367829VA · Multiplan
Other1154367829VA · Optima Health
Other1154367829VA · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Monique D. Gillman Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082614888
PECOS Enrollment IDI20201106001281
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATHALIE CHANG MD
Obstetrics & Gynecology
6410 FANNIN ST STE 350
HOUSTON, TX 77030
Harris County (713) 500-6421
OLIVIA MAY NEEL PA-C
Physician Assistant
6410 FANNIN ST STE 350
HOUSTON, TX 77030
Harris County (936) 827-5577
THERESA DINH PA
Physician Assistant
6410 FANNIN ST STE 350
HOUSTON, TX 77030
Harris County (832) 325-7180
DR. GLORIA NISHA FERNANDES MD
Obstetrics & Gynecology
6410 FANNIN ST STE 350
HOUSTON, TX 77030
Harris County (713) 500-6421
KATIELEE R TINGEY PA-C
Physician Assistant
6410 FANNIN ST STE 350
HOUSTON, TX 77030
Harris County (281) 319-4111
RAMANA S JONES MD
Obstetrics & Gynecology
6410 FANNIN ST STE 350
HOUSTON, TX 77030
Harris County (713) 500-6412
MS. PAULA WADEWITZ
Advanced Practice Midwife
6410 FANNIN ST STE 350
HOUSTON, TX 77030
Harris County (888) 488-3627
LISA ENGEL MD
Obstetrics & Gynecology
6410 FANNIN ST STE 350
HOUSTON, TX 77030
Harris County (713) 486-6643

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Monique Gillman's NPI number?

The NPI number for Monique Gillman is 1154367829. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Monique Gillman located?

Monique Gillman practices at 6410 Fannin St Ste 350, Houston, TX 77030. The listed phone number is (832) 325-7131.

What is Monique Gillman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Monique Gillman enrolled in Medicare?

Yes. Monique Gillman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Monique Gillman accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Monique Gillman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Monique Gillman was last updated on November 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.