Active NPI
Andrea L. Allred-Crouch, M.D.
- Diagnostic Radiology Physician
- San Antonio, TX
National Provider Identifier
1164498135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G7973
- Practice address
- 8401 Datapoint Dr
Suite 600
San Antonio, TX 78229-5900 - Phone
- (210) 616-7700
- Fax
- (210) 616-7799
- NPI assigned
- Feb 28, 2006
- Last updated
- Mar 4, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G7973 | TX | Primary |
| Diagnostic Ultrasound Physician | 2085U0001X | G7973 | TX |
Addresses
Primary practice location
8401 Datapoint Dr
Suite 600
San Antonio, TX 78229-5900
Mailing address
8401 Datapoint Dr
Suite 600
San Antonio, TX 78229-5900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11860009-04 | Other | TX | MEDICAID - STRIC |
| 1186000902 | Other | TX | CSHCN |
| 1186000901 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236124800000",
"number": "1164498135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 DATAPOINT DR",
"address_2": "SUITE 600",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782295900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 DATAPOINT DR",
"address_2": "SUITE 600",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782295900",
"telephone_number": "210-616-7700",
"fax_number": "210-616-7799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLRED-CROUCH",
"first_name": "ANDREA",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-28",
"last_updated": "2009-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "G7973",
"primary": true
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "TX",
"license": "G7973",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID - STRIC",
"identifier": "11860009-04",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "1186000902",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1186000901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.