Individual provider Active NPI

Mark A Price, MD

  • MOHS-Micrographic Surgery Physician
  • Houston, TX
National Provider Identifier
1104985407
Registry record updated Aug 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
J1559 Issued in TX
Practice address
1213 Hermann Dr
Suite 650
Houston, TX 77004-7018
Phone
(713) 528-8882
Fax
(713) 528-8883
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X J1559 TX
Procedural Dermatology Physician 207NS0135X J1559 TX
MOHS-Micrographic Surgery Physician 207ND0101X J1559 TX Primary

Addresses

Primary practice location

1213 Hermann Dr
Suite 650
Houston, TX 77004-7018

Mailing address

1213 Hermann Dr
Suite 650
Houston, TX 77004-7018
Phone (713) 528-8882

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
I20040910001062 TX Practitioner - Dermatology 7012984917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Baylor College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oliver Street 5.01(a) IncGroup PAC ID 0042464125, 169 clinicians
Advanced Dermatologic Surgery P aGroup PAC ID 8921027236, 2 clinicians

Practice addresses (Care Compare)

1213 Hermann Dr
Suite 650
Houston, TX 77004-7012
Phone (713) 528-8882

5420 W Loop S
Suite 4500
Bellaire, TX 77401-2122
Phone (713) 529-8787

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision42
Removal of skin lesions608
Removal of skin cancer645
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy156

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J1559TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oliver Street 5.01(a) Inc. Dermatology CurrentSince Dec 28, 2016 Accepting new patients
Advanced Dermatologic Surgery PA Dermatology CurrentSince Jul 11, 2005 Accepting new patients

Locations

5420 West Loop S
Ste 4500
Bellaire, TX 77401
Phone (713) 529-8787

5310 Harvest Hill Rd
Ste 290
Dallas, TX 75230
Phone (214) 420-0672

1213 Hermann Dr
Ste 650
Houston, TX 77004
Phone (713) 528-8882

1200 Binz St
Ste 1040
Houston, TX 77004
Phone (713) 520-2328

1367 Dominion Plz
Tyler, TX 75703
Phone (903) 534-6200

Organizations & group practices 2

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502150400000",
    "number": "1104985407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR",
            "address_2": "SUITE 650",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047018",
            "telephone_number": "713-528-8882",
            "fax_number": "713-528-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR",
            "address_2": "SUITE 650",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047018",
            "telephone_number": "713-528-8882",
            "fax_number": "713-528-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2017-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "J1559",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TX",
            "license": "J1559",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "J1559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.