Individual provider Active NPI

Terrence Allan Cronin Jr., MD

  • MOHS-Micrographic Surgery Physician
  • Melbourne, FL
National Provider Identifier
1356343115
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME0066760 Issued in FL
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

Updated by the provider on Sep 8, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
26265OtherFLFLORIDA BLUE SHIELD
26265OtherFLMEDICARE
379600100MedicaidFL
6189190OtherCIGNA
18258OtherFLAETNA
070007155OtherFLRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 100Reported as individual
Quality
68.09
Promoting interoperability
67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision507
Removal of skin lesions4085
Removal of skin cancer507
Skin biopsy2021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0066760FLMDProcedural Dermatology Physician

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.