Individual provider Active NPI

Andrew L Doe, MD

  • Vascular & Interventional Radiology Physician
  • Houston, TX
National Provider Identifier
1023158649
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
P2230 Issued in TX
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

Updated by the provider on Feb 4, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
309705701MedicaidTX

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
I20121005000177 TX Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 1658451786 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Houston Metro UrologyGroup PAC ID 3971508235, 31 clinicians

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

ProcedureNumber of procedures
Varicose vein removal27
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08382500NJMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Radiology PA Diagnostic Radiology CurrentSince Jan 15, 2015 Accepting new patients
Houston Metro Urology CurrentSince Sep 26, 2024 Accepting new patients
Vascular and Interventional Radiology of America Diagnostic Radiology CurrentSince Aug 22, 2012 Accepting new patients
American Access Care Physician PLLC Vascular & Interventional Radiology PastSince May 10, 2020 Accepting new patients
New Jersey Interventional Associates LLC PastSince May 10, 2020 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDAHBD/Endpoint/FDAHBD
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.