MR. BILLY RAY GILBERT II M.D.
NPI 1164685731
Internal Medicine - Nephrology in Houston, TX

Q: What is Billy Gilbert's NPI number?

The NPI number for Billy Gilbert is 1164685731. It was assigned to this individual provider in the NPPES registry on July 3, 2008.

Q: What is Billy Gilbert's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Billy Gilbert was last updated on February 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 03, 2008PECOS EnrolledAccepts Medicare Assignment

6624 FANNIN, SUITE 2510, RENAL SPECIALISTS OF HOUSTON, PA, HOUSTON, TX 77030(713) 791-2648(713) 795-0717 Get Directions Write a Review

NPPES record last updated: February 9, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mr. Billy Ray Gilbert Ii M.d. NPPES

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

MR. BILLY RAY GILBERT II M.D. (NPI 1164685731) is an individual nephrology provider in Houston, Texas, licensed in Texas (BP10023256) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2005).

NPPES Registry Identity

NPI1164685731

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameMR. BILLY RAY GILBERT IICredential: M.D.

Location Address6624 FANNIN, SUITE 2510, RENAL SPECIALISTS OF HOUSTON, PAHouston, TX 77030-2337

Mailing Address8876 Gulf Freeway, Suite 215, Renal Specialists Of Houston, PaHouston, TX 77017-6550 · (713) 947-9509 · Fax (713) 947-0609

Phone(713) 791-2648

Fax(713) 795-0717

Sole ProprietorNo

Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2005

Enumeration DateJuly 3, 2008

Last NPPES UpdateFebruary 9, 2012

✔ NPI 1164685731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Licenses✔ Licensed in TX · BP10023256✔ Licensed in TX · N5688

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

6624 FANNIN, Houston, TX 77030

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare 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

Mr. Billy Ray Gilbert Ii M.d. 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 ID9931232394

PECOS Enrollment IDI20100805000313

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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

228 services67 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

109 services60 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

78 services41 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

60 services47 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

50 services32 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

44 services44 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

44 services12 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

43 services13 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

28 services12 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

27 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

24 services24 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

18 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450193

Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County

Emergency services

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450358

Location6565 FanninHouston, TX 77030 · Harris County

Emergency services Birthing friendly

Memorial Hermann Northeast Hospital

Acute Care Hospitals · Humble, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450684

Location18951 Memorial NorthHumble, TX 77338 · Harris County

Emergency services Birthing friendly

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

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

5 suppliers35 claims2,490 services$0.29 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers12 claims1,590 services$0.19 avg. paid by Medicare

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers22 claims3,360 services$0.98 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

6 suppliers31 claims31 services$17.76 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

6 suppliers46 claims48 services$11.61 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

MARCILLE C BAUMGARTNER PT

Physical Therapist

6624 FANNIN, SUITE 2600
HOUSTON, TX 77030

Harris County (713) 790-1818

DR. SHEILA HEINLE MD

Internal Medicine (Cardiovascular Disease)

6624 FANNIN, #2480
HOUSTON, TX 77030

Harris County (713) 529-5530

HOUSTON INFECTIOUS DISEASES ASSOCIATED

Internal Medicine (Infectious Disease)

6624 FANNIN, SUITE 1410
HOUSTON, TX 77030

Harris County (713) 791-4882

SEWA S LEGHA MD

Internal Medicine (Medical Oncology)

6624 FANNIN, STE 1440
HOUSTON, TX 77030

Harris County (713) 797-9711

FELIPE N FLORES MD PA

Urology

6624 FANNIN, SUITE 2280
HOUSTON, TX 77030

Harris County (713) 799-8896

DAVID T NETSCHER MD

Plastic Surgery (Surgery of the Hand)

6624 FANNIN, STE 2730
HOUSTON, TX 77030

Harris County (713) 799-8090

MR. ABDI RASEKH MD

Internal Medicine (Clinical Cardiac Electrophysiology)

6624 FANNIN, #2480
HOUSTON, TX 77030

Harris County (713) 529-5530

HALL GARCIA CARDIOLOGY ASSOC

Internal Medicine (Cardiovascular Disease)

6624 FANNIN, #2480
HOUSTON, TX 77030

Harris County (713) 529-5530

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 Billy Gilbert's NPI number?

The NPI number for Billy Gilbert is 1164685731. It was assigned to this individual provider in the NPPES registry on July 3, 2008.

Where is Billy Gilbert located?

Billy Gilbert practices at 6624 Fannin Suite 2510, Renal Specialists Of Houston, PA, Houston, TX 77030. The listed phone number is (713) 791-2648.

What is Billy Gilbert's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Billy Gilbert enrolled in Medicare?

Yes. Billy Gilbert 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 Billy Gilbert accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and UnitedHealthcare list Billy Gilbert 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.

Is Billy Gilbert affiliated with any hospitals?

According to CMS data, Billy Gilbert is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, Houston Methodist Hospital and Memorial Hermann Northeast Hospital.

When was this NPI record last updated?

The NPPES record for Billy Gilbert was last updated on February 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.