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GLORIA P HERESI M.D.
NPI 1689618050
Pediatrics - Pediatric Infectious Diseases in Houston, TX

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment
6410 FANNIN ST, 500, HOUSTON, TX 77030(832) 325-7111(713) 512-2227 Get Directions Write a Review

NPPES record last updated: August 8, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gloria P Heresi M.d. NPPES

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

GLORIA P HERESI M.D. (NPI 1689618050) is an individual pediatric infectious diseases provider in Houston, Texas, licensed in Texas (K0058) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1975).

NPPES Registry Identity

NPI1689618050
Entity TypeIndividualFemale
Primary Taxonomy2080P0208X
Provider Legal NameGLORIA P HERESICredential: M.D.
Location Address6410 FANNIN ST, 500Houston, TX 77030-3000
Mailing AddressPo Box 301173Dallas, TX 75303-1173 · (713) 500-3500
Phone(832) 325-7111
Fax(713) 512-2227
Sole ProprietorNo
Medical School CMSOtherGraduated 1975
Enumeration DateJune 16, 2006
Last NPPES UpdateAugust 8, 2016
✔ NPI 1689618050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0208X
License✔ Licensed in TX · K0058
Definition
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
Also ListedPediatricsTaxonomy 208000000X · License K0058 (TX)
6410 FANNIN ST, Houston, TX 77030
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Other Identifiers 6

Other85710FTX · Bcbs
Medicare UPING50551TX
Medicare PIN85710FTX
Other124651401TX · Cshcn
Medicaid124651404TX
Medicare PIN440002504TX

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gloria P Heresi 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 ID7416840178
PECOS Enrollment IDI20040205000889
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.

Medicare Billing Reassignment

Medicare enrollment records show Gloria Heresi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ut Physicians
Same address
Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
NPI 1033157821 (832) 325-7325

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. JYOTHSNA GATTINENI M.D.
Pediatrics (Pediatric Nephrology)
6410 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 325-6516
EUGENIO A AGUILAR III MD PA
Clinic/Center (Ambulatory Surgical)
6410 FANNIN ST, SUITE 927
HOUSTON, TX 77030
Harris County (713) 797-0085
BELANIE G PEAVY ACNP
Nurse Practitioner (Acute Care)
6410 FANNIN ST, SUITE 1400
HOUSTON, TX 77030
Harris County (832) 325-7125
DR. NIVEDITA THAKUR M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
6410 FANNIN ST, UTPB 732
HOUSTON, TX 77030
Harris County (713) 500-7113
AMBER CHEN-GOODSPEED
Student in an Organized Health Care Education/Training Program
6410 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 462-3983
OLASUNKANMI ADEYINKA M.D.
Family Medicine
6410 FANNIN ST, 250
HOUSTON, TX 77030
Harris County (832) 325-6500
KEVIN P LALLY M.D.
Surgery (Pediatric Surgery)
6410 FANNIN ST, 1400
HOUSTON, TX 77030
Harris County (832) 325-7234
DIANE M NOVY PH.D.
Psychologist
6410 FANNIN ST, 230
HOUSTON, TX 77030
Harris County (713) 704-3961

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 Gloria Heresi's NPI number?

The NPI number for Gloria Heresi is 1689618050. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Gloria Heresi located?

Gloria Heresi practices at 6410 Fannin St 500, Houston, TX 77030. The listed phone number is (832) 325-7111.

What is Gloria Heresi's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Is Gloria Heresi enrolled in Medicare?

Yes. Gloria Heresi 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.

Which organization bills Medicare for Gloria Heresi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gloria Heresi reassigns Medicare benefits to Ut Physicians (Houston, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gloria Heresi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gloria Heresi 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 3 other insurers list Gloria Heresi 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 Gloria Heresi was last updated on August 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.