Andrew Albert Indresano, M.D

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

Q0940 Issued in TX

Practice address

3160 N Tarrant Pkwy Ste 404
Fort Worth, TX 76177-8614

Phone

(817) 205-2939

Fax

(817) 887-3015

NPI assigned

Jun 22, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 9, 2022 through Feb 9, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmcaindre@yourcarecommunity.org

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.

• Equinox Clinic PLLC

  • Physician Assistant
  • Fort Worth, TX
  • NPI 1902259385

  Orthopaedic Surgery of the Spine

  NPD Authorized official
• Disc Clinic PLLC

  • Orthopaedic Surgery of the Spine Physician
  • Fort Worth, TX
  • NPI 1457704835
  NPD (past)

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1023214475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 N TARRANT PKWY STE 404",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778614",
            "telephone_number": "817-205-2939",
            "fax_number": "817-887-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 N TARRANT PKWY STE 404",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778614",
            "telephone_number": "817-205-2939",
            "fax_number": "817-887-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDRESANO",
        "first_name": "ANDREW",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-22",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "Q0940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• In Home Nurse Practitioners
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• Christopher Werner Ince, M.D.
• Independent Cardiology Associates
• Indus Dental Associates, P.C.
• Industrial & Family Pharmacy Inc
• Christopher A Ineama, PHYSICIAN ASSISTANT
• Lori Ann Infante
• Infectious Diseases 360 Inc

• Orthopaedic Surgery of the Spine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Orthopaedic Surgery of the Spine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.