Individual provider Active NPI

Mark A D'Andrea, M.D.

  • Radiation Oncology Physician
  • Houston, TX
National Provider Identifier
1326081993
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
H5862 Issued in TX
Practice address
12811 Beamer Rd
Houston, TX 77089-6140
Phone
(713) 474-1414
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X H5862 TX
Radiation Oncology Physician 2085R0001X H5862 TX Primary

Addresses

Primary practice location

12811 Beamer Rd
Houston, TX 77089-6140

Mailing address

P.O. Box 7894
Pasadena, TX 77508-7894
Phone (281) 579-0061

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
I20050609000727 TX Practitioner - Radiation OncologyPractitioner - Internal MedicinePractitioner - Interventional Pain ManagementPractitioner - Hematology/OncologyPractitioner - Diagnostic Radiology 8325022791 Reassigns benefits to 3 organizations
Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Radiation OncologyAlso: Diagnostic Radiology, Hematology/Oncology, Internal Medicine, Interventional Pain Management
Education
Ponce School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12811 Beamer Rd
Houston, TX 77089-6140
Phone (713) 474-1414

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Cancer & Diagnostic Center at Southeast Radiation Oncology CurrentSince Jun 14, 2004 Accepting new patients
Gulf Coast Oncology Associates PA Radiation Oncology CurrentSince Mar 19, 2001 Accepting new patients
Oncology Physicians of Central Texas, PA Radiation Oncology CurrentSince Apr 14, 2005 Accepting new patients

Locations

605 Medical Ct
Ste 101
Brenham, TX 77833
Phone (979) 774-1377

12811 Beamer Rd
Houston, TX 77089
Phone (713) 474-1414

2724 Yale St
Houston, TX 77008
Phone (713) 636-9841

640 Interstate 45 S
#10
Huntsville, TX 77340
Phone (936) 438-8430

640 Interstate 45 S
Huntsville, TX 77340
Phone (936) 228-3992

24042 Highway 59 N
Kingwood, TX 77339
Phone (281) 359-5454

4135 Spencer Hwy
Pasadena, TX 77504
Phone (713) 467-5700

Interoperability endpoints

  • Direct secure messaging: mark.d.andrea.1@13131.direct.athenahealth.com

Organizations & group practices 3

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1326081993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 7894",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775087894",
            "telephone_number": "281-579-0061",
            "fax_number": "281-579-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12811 BEAMER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896140",
            "telephone_number": "713-474-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ANDREA",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "TX",
            "license": "H5862",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "H5862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.