Active NPI
Terrence Allan Cronin Jr., MD
- MOHS-Micrographic Surgery Physician
- Melbourne, FL
National Provider Identifier
1356343115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- ME0066760
- Practice address
- 1399 S Harbor City Blvd
Melbourne, FL 32901-3208 - Phone
- (321) 726-1711
- Fax
- (321) 726-1715
- NPI assigned
- Aug 11, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | ME0066760 | FL | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | ME0066760 | FL | Primary |
Addresses
Primary practice location
1399 S Harbor City Blvd
Melbourne, FL 32901-3208
Mailing address
1399 S Harbor City Blvd
Melbourne, FL 32901-3208
Phone (321) 726-1711
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26265 | Other | FL | FLORIDA BLUE SHIELD |
| 26265 | Other | FL | MEDICARE |
| 379600100 | Medicaid | FL | |
| 6189190 | Other | CIGNA | |
| 18258 | Other | FL | AETNA |
| 070007155 | Other | FL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101005001035 | FL | Practitioner - Dermatology | 4789876004 | Practice locations: Melbourne, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Wake Forest University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1399 S Harbor City BL
Melbourne, FL 32901-3208
Phone (321) 726-1711
1399 S Harbor City Blvd
Melbourne, FL 32901-3208
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.55 of 100
- Quality
- 68.09
- Promoting interoperability
- 67
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 507 |
| Removal of skin lesions | 4085 |
| Removal of skin cancer | 507 |
| Skin biopsy | 2021 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0066760 | FL | MD | Procedural Dermatology Physician |
Interoperability endpoints
- tcronin71747@epicdirect.hf.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1356343115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1399 S HARBOR CITY BLVD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013208",
"telephone_number": "321-726-1711",
"fax_number": "321-726-1715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1399 S HARBOR CITY BLVD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013208",
"telephone_number": "321-726-1711",
"fax_number": "321-726-1715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRONIN",
"first_name": "TERRENCE",
"middle_name": "ALLAN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "FL",
"license": "ME0066760",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "FL",
"license": "ME0066760",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE SHIELD",
"identifier": "26265",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "26265",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "379600100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6189190",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "18258",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "070007155",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.