Individual provider Active NPI

Craig Lynn Maddox, M.D.

  • Dermatology Physician
  • San Antonio, TX
National Provider Identifier
1346210713
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
01060361A Issued in IN
Practice address
Brooke Army Medical Center
McHe-QD (Creds)
San Antonio, TX 78234-6263
Phone
(210) 916-2027
NPI assigned
Jan 26, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 01060361A IN Primary

Addresses

Primary practice location

Brooke Army Medical Center
McHe-QD (Creds)
San Antonio, TX 78234-6263

Mailing address

4970 Augusta SQ
San Antonio, TX 78247-5670
Phone (210) 292-5373

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
I20071129000682 TX Practitioner - Dermatology 4981793890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Southern Illinois University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain View Dermatology,P.a.Group PAC ID 2668468398, 9 clinicians

Practice addresses (Care Compare)

1723 Weston Brent LN
El Paso, TX 79935-3013
Phone (915) 759-7700

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision23
Removal of skin lesions728
Removal of nail tissue1-10
Skin biopsy190

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01060361AINMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Dermatology,P.a. Dermatology CurrentSince Oct 24, 2016 Accepting new patients

Locations

1723 Weston Brent Ln
El Paso, TX 79935
Phone (915) 759-7700

7100 Westwind Dr
Ste 270
El Paso, TX 79912
Phone (915) 759-7700

8820 Gateway Blvd N
El Paso, TX 79904
Phone (915) 759-0012

Interoperability endpoints

  • Direct secure messaging: cmaddox@mvd.emadirect.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346210713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4970 AUGUSTA SQ",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782475670",
            "telephone_number": "210-292-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BROOKE ARMY MEDICAL CENTER",
            "address_2": "MCHE-QD (CREDS)",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782346263",
            "telephone_number": "210-916-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "CRAIG",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01060361A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.