John Joseph Ghidoni III, MD

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

G5089 Issued in TX

Practice address

8229 Shoal Creek Blvd
Suite#101
Austin, TX 78757-7568

Phone

(512) 371-7400

Fax

(512) 371-7488

NPI assigned

Aug 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

Texas Tech University Health Science Center School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oliver Street 5.01(a) IncGroup PAC ID 0042464125, 169 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

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

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Oliver Street 5.01(a) Inc.

  • Dermatology Physician
  • Dallas, TX
  • NPI 1457695413

  Mohs-Micrographic Surgery

  Medicare reassignment Care Compare group NPD
• Comprehensive Sleep Medicine Associates, PA

  • Neurology Physician
  • Houston, TX
  • NPI 1114954443
  NPD (past)
• Dermatology Associates

  • Dermatology Physician
  • Houston, TX
  • NPI 1356523039

  Mohs-Micrographic Surgery

  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003829920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8229 SHOAL CREEK BLVD",
            "address_2": "SUITE#101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577568",
            "telephone_number": "512-371-7400",
            "fax_number": "512-371-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8229 SHOAL CREEK BLVD",
            "address_2": "SUITE#101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577568",
            "telephone_number": "512-371-7400",
            "fax_number": "512-371-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHIDONI",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "G5089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aditi Ghatak-Roy, M.D.
• Arshad Ghauri, M.D.
• Ghazi Enterprises Inc
• Amir David Ghazi, DC
• Raeeda Munir Gheewala, MD
• Anita Ghimire
• Claudia Ghio, LPA, LSSP
• Ezam Ghodsi, MD
• Angelica Gholston, NP
• Peggy Ghorbani, L.AC.

• MOHS-Micrographic Surgery Physician in Austin, TX
• Providers in Austin, TX by specialty
• MOHS-Micrographic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.