Individual provider Active NPI

Lauren Alberta-Wszolek, M.D.

  • Dermatology Physician
  • Bellaire, TX
National Provider Identifier
1356490163
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
239990 Issued in MA
Practice address
6565 West Loop S
Suite 800
Bellaire, TX 77401-3500
Phone
(713) 661-4383
Fax
(713) 661-4346
NPI assigned
Jan 10, 2007
Last updated
Jul 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X PENDING MA
Dermatology Physician 207N00000X 239990 MA Primary

Addresses

Primary practice location

6565 West Loop S
Suite 800
Bellaire, TX 77401-3500

Mailing address

290 Baker Ave
Suite 800
Concord, MA 01742-2189
Phone (713) 661-4383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20090930000249 MA Practitioner - Dermatology 6002952348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Massachusetts Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of Concord IncGroup PAC ID 6901839539, 15 clinicians

Practice addresses (Care Compare)

290 Baker Ave
Concord, MA 01742-2189
Phone (978) 369-9023

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions728
Removal or shaving of skin growth16
Skin biopsy178

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
239990MAMDDermatology Physician
PENDINGMAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Concord Inc Dermatology CurrentSince Aug 1, 2013 Accepting new patients

Locations

625 Mount Auburn St
Cambridge, MA 02138
Phone (617) 354-5658

625 Mount Auburn St
Ste 101B
Cambridge, MA 02138
Phone (617) 354-6568

290 Baker Ave
Concord, MA 01742
Phone (978) 369-0730

290 Baker Ave
Ste 220
Concord, MA 01742

290 Baker Ave
Ste 800
Concord, MA 01742

290 Baker Ave
Ste N220
Concord, MA 01742
Phone (978) 254-1600

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1356490163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 BAKER AVE",
            "address_2": "SUITE 800",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422189",
            "telephone_number": "713-661-4383",
            "fax_number": "713-661-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 WEST LOOP S",
            "address_2": "SUITE 800",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013500",
            "telephone_number": "713-661-4383",
            "fax_number": "713-661-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERTA-WSZOLEK",
        "first_name": "LAUREN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "239990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.