Individual provider Active NPI

Anthony Joseph Perri III, MD

  • Dermatology Physician
  • Conroe, TX
National Provider Identifier
1003010687
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
M6826 Issued in TX
Practice address
4015 Interstate 45 N Ste 200
Conroe, TX 77304-5076
Phone
(936) 522-4966
Fax
(936) 522-4998
NPI assigned
Jun 14, 2007
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X M6826 TX Primary

Addresses

Primary practice location

4015 Interstate 45 N Ste 200
Conroe, TX 77304-5076

Mailing address

PO Box 3265
Houston, TX 77253-3265
Phone (936) 522-4966

Other identifiers 1

IdentifierTypeStateIssuer
197963502MedicaidTX

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
I20080813000068 TX Practitioner - Dermatology 4284709155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Baylor College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9305 Pinecroft Dr
Suite 305
Shenandoah, TX 77380-3482
Phone (936) 522-4966

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision173
Removal of skin lesions4108
Skin biopsy3350

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M6826TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Perri Dermatology, PLLC Inc Dermatology CurrentSince Jun 1, 2012 Accepting new patients
Skin Care Specialists, PLLC Past Accepting new patients

Locations

4015 Interstate 45 N
Conroe, TX 77304
Phone (936) 522-4731

4015 Interstate 45 N
Ste 200
Conroe, TX 77304
Phone (281) 943-2740

9305 Pinecroft Dr
Ste 305
The Woodlands, TX 77380
Phone (832) 308-3470

Networks

  • TX HMO D-SNP
  • TX HMO
  • NM HMO C-SNP

Interoperability endpoints

  • Direct secure messaging: anthony.perriiiimd.p1@direct.perridermatology.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1003010687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3265",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772533265",
            "telephone_number": "936-522-4966",
            "fax_number": "936-522-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 INTERSTATE 45 N STE 200",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773045076",
            "telephone_number": "936-522-4966",
            "fax_number": "936-522-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRI",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "M6826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197963502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.