Active NPI
Andrew L Doe, MD
- Vascular & Interventional Radiology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- P2230
- Practice address
- 1213 Hermann Dr
Suite 255
Houston, TX 77004-7018 - Phone
- (713) 955-1707
- Fax
- (713) 955-1699
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 242976 | NY | |
| Diagnostic Radiology Physician | 2085R0202X | 25MA08382500 | NJ | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 25MA08382500 | NJ | |
| Vascular & Interventional Radiology Physician | 2085R0204X | P2230 | TX | Primary |
Addresses
Primary practice location
1213 Hermann Dr
Suite 255
Houston, TX 77004-7018
Mailing address
1213 Hermann Dr
Suite 255
Houston, TX 77004-7018
Phone (713) 955-1707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 309705701 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1213 Hermann Dr
Suite 255
Houston, TX 77004-7074
Phone (713) 955-1707
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 27 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08382500 | NJ | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Radiology PA | Diagnostic Radiology | Current | Accepting new patients |
| Houston Metro Urology | Current | Accepting new patients | |
| Vascular and Interventional Radiology of America | Diagnostic Radiology | Current | Accepting new patients |
| American Access Care Physician PLLC | Vascular & Interventional Radiology | Past | Accepting new patients |
| New Jersey Interventional Associates LLC | Past | Accepting new patients |
Locations
1220 Blalock Rd
Ste 100
Houston, TX 77055
Phone (713) 464-3343
2130 W Holcombe Blvd
#B
Houston, TX 77030
6560 Fannin St
Ste 1440
Houston, TX 77030
Phone (713) 523-7843
12825 Gulf Fwy
Houston, TX 77034
Phone (713) 955-1707
4223 Richmond Ave
Houston, TX 77027
Phone (713) 351-0630
1213 Hermann Dr
Ste 255
Houston, TX 77004
Phone (713) 522-6004
17510 W Grand Pkwy S
Ste 410
Sugar Land, TX 77479
Phone (281) 232-9772
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FDAHBD/Endpoint/FDAHBD
- andrew.doe.1@15454.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Specialist
- Houston, TX
- NPI 1245281922
-
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1568400810
-
dba Alate Health
- Vascular & Interventional Radiology Physician
- Houston, TX
- NPI 1932459476
Diagnostic Radiology
-
- Vascular & Interventional Radiology Physician
- Brooklyn, NY
- NPI 1235104878
-
dba Azura Vascular Care Union
- Ambulatory Surgical Clinic/Center
- Union, NJ
- NPI 1255894051
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Houston Methodist Hospital
- General Acute Care Hospital
- Houston, TX
- NPI 1548387418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454544000000",
"number": "1023158649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 HERMANN DR",
"address_2": "SUITE 255",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770047018",
"telephone_number": "713-955-1707",
"fax_number": "713-955-1699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 HERMANN DR",
"address_2": "SUITE 255",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770047018",
"telephone_number": "713-955-1707",
"fax_number": "713-955-1699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOE",
"first_name": "ANDREW",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2016-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "242976",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA08382500",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NJ",
"license": "25MA08382500",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "TX",
"license": "P2230",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "309705701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.