Individual provider Active NPI

Andrew Decrescenzo, MD

  • Dermatology Physician
  • The Woodlands, TX
National Provider Identifier
1003342833
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
S9489 Issued in TX
Practice address
9303 Pinecroft Dr Ste 310
The Woodlands, TX 77380-3183
Phone
(281) 363-5050
Fax
(281) 363-5020
NPI assigned
May 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X S9489 TX
Dermatology Physician 207N00000X S9489 TX Primary

Addresses

Primary practice location

9303 Pinecroft Dr Ste 310
The Woodlands, TX 77380-3183

Mailing address

6909 Greenbriar Dr
Houston, TX 77030-3205
Phone (713) 660-9444

Other practice location 1

6909 Greenbriar Dr
Houston, TX 77030-3205
Phone (713) 660-9444

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
I20210701003427 TX Practitioner - Dermatology 7214283662 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical Branch at Galveston, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Woodlands Dermatology Associates PAGroup PAC ID 0042202947, 12 clinicians

Practice addresses (Care Compare)

9303 Pinecroft Dr
Suite 150
The Woodlands, TX 77380-3183
Phone (281) 363-5050

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision40
Removal of skin lesions659
Removal or shaving of skin growth127
Skin biopsy445

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S9489TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph Dermatopathology, P.a. Dermatology CurrentSince Mar 15, 2022 Accepting new patients
The Woodlands Dermatology Associates PA Dermatology CurrentSince Apr 27, 2023 Accepting new patients
Utmb Faculty Group Practice Dermatology CurrentSince Jul 1, 2021 Accepting new patients

Locations

1005 Harborside Dr
Fl 5
Galveston, TX 77555
Phone (409) 747-3376

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

6909 Greenbriar Dr
Houston, TX 77030
Phone (713) 660-9444

9303 Pinecroft Dr
Ste 310
The Woodlands, TX 77380
Phone (281) 292-7000

9303 Pinecroft Dr
Ste 150
The Woodlands, TX 77380
Phone (281) 363-5050

Interoperability endpoints

  • Direct secure messaging: adecrescenzo496470@direct.sw.org
  • Direct secure messaging: adecrescenzo@woodlandsderm.emadirect.md

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1003342833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6909 GREENBRIAR DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303205",
            "telephone_number": "713-660-9444",
            "fax_number": "713-660-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9303 PINECROFT DR STE 310",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803183",
            "telephone_number": "281-363-5050",
            "fax_number": "281-363-5020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6909 Greenbriar Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303205",
            "country_code": "US",
            "telephone_number": "713-660-9444",
            "fax_number": "713-660-9466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECRESCENZO",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "TX",
            "license": "S9489",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "S9489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.