WALLACE A GLEASON M.D.
NPI 1750325536
Pediatrics - Pediatric Gastroenterology in Houston, TX

Active since June 15, 2006PECOS Enrolled
6410 FANNIN ST, 500, HOUSTON, TX 77030(832) 325-7111(713) 512-2230 Get Directions Write a Review

NPPES record last updated: August 3, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Wallace A Gleason M.d. NPPES

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

WALLACE A GLEASON M.D. (NPI 1750325536) is an individual pediatric gastroenterology provider in Houston, Texas, licensed in Texas (E9659) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750325536
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameWALLACE A GLEASONCredential: M.D.
Location Address6410 FANNIN ST, 500Houston, TX 77030-3000
Mailing AddressPo Box 301173Dallas, TX 75303-1173 · (713) 500-3500
Fax(713) 512-2230
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateAugust 3, 2016
✔ NPI 1750325536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in TX · E9659
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedPediatricsTaxonomy 208000000X · License E9659 (TX)
6410 FANNIN ST, Houston, TX 77030

Other Identifiers 7

Other137015705TX · Cshcn
Medicare PIN88Y666TX
Medicare PIN370011846TX
Medicare UPINC16159TX
Medicaid137015708TX
Other88Y666TX · Bcbs
Medicare PIN8L8961TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wallace A Gleason M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Wallace Gleason reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group

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

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.

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.

Pediatrics (Pediatric Nephrology)
6410 FANNIN ST
HOUSTON, TX 77030
Internal Medicine (Hematology)
6410 FANNIN ST
HOUSTON, TX 77030
Clinic/Center (Ambulatory Surgical)
6410 FANNIN ST, SUITE 927
HOUSTON, TX 77030
Nurse Practitioner (Acute Care)
6410 FANNIN ST, SUITE 1400
HOUSTON, TX 77030
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
6410 FANNIN ST, UTPB 732
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
6410 FANNIN ST
HOUSTON, TX 77030
Family Medicine
6410 FANNIN ST, 250
HOUSTON, TX 77030
Surgery (Pediatric Surgery)
6410 FANNIN ST, 1400
HOUSTON, TX 77030

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 Wallace Gleason's NPI number?

The NPI number for Wallace Gleason is 1750325536. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Wallace Gleason located?

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

What is Wallace Gleason's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Wallace Gleason enrolled in Medicare?

Yes. Wallace Gleason is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Wallace Gleason's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wallace Gleason 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 Wallace Gleason's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wallace Gleason accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Wallace Gleason 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 Wallace Gleason was last updated on August 3, 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.