Active NPI
Alan William Skolnick, MD
- Urology Physician
- Houston, TX
National Provider Identifier
1205823952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- D8821
- Practice address
- 915 Gessner Rd
Suite 720
Houston, TX 77024-2527 - Phone
- (713) 830-9100
- NPI assigned
- Sep 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | D8821 | TX | Primary |
Addresses
Primary practice location
915 Gessner Rd
Suite 720
Houston, TX 77024-2527
Mailing address
909 Frostwood Dr
Suite 1.100
Houston, TX 77024-2301
Phone (713) 338-4523
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 034943304 | Medicaid | TX | |
| 034943305 | Medicaid | TX | |
| P00695498 | Other | TX | RAILROAD MEDICARE |
| 034943303 | Medicaid | TX | |
| 8BV064 | Other | TX | BLUECROSS BLUESHIELD OF 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D8821 | TX | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459468800000",
"number": "1205823952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 FROSTWOOD DR",
"address_2": "SUITE 1.100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242301",
"telephone_number": "713-338-4523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 GESSNER RD",
"address_2": "SUITE 720",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242527",
"telephone_number": "713-830-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKOLNICK",
"first_name": "ALAN",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2016-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "D8821",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "034943304",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "034943305",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00695498",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "034943303",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD OF TX",
"identifier": "8BV064",
"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 Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.