Active NPI
Janice May Wilson, M.D.
- Dermatology Physician
- Galveston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- BP20046284
- Practice address
- 301 University Blvd
University of Texas Medical Branch-Dermatology
Galveston, TX 77555-0783 - Phone
- (409) 772-1911
- Fax
- (409) 772-4456
- NPI assigned
- Jun 3, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | Q5126 | TX | |
| Internal Medicine Physician | 207R00000X | BP10044148 | TX | |
| Dermatology Physician | 207N00000X | BP20046284 | TX | Primary |
Addresses
Primary practice location
301 University Blvd
University of Texas Medical Branch-Dermatology
Galveston, TX 77555-0783
Mailing address
301 University Blvd
Galveston, TX 77555-0783
Phone (409) 772-1911
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2525 W Bellfort Ave
Suite 194
Houston, TX 77054-5099
Phone (281) 661-1573
2660 Gulf Fwy S
League City, TX 77573-6820
301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-2222
PO Box
650859 Dept 710
Dallas, TX 75265-0859
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.88 of 100
- Quality
- 73.38
- Improvement activities
- 40
- Cost
- 78.42
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 360 |
| Skin biopsy | 93 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP20046284 | TX | MD | Dermatology Physician |
| BP10044148 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utmb Faculty Group Practice | Dermatology | Current | Accepting new patients |
| Motaz Albahra, MD. P.a., PLLC | Current | Accepting new patients | |
| Adg Houston Path PLLC | Current | Accepting new patients | |
| Motaz Albahra, MD. P.a., PLLC | Current | Accepting new patients | |
| Adg Houston Path PLLC | Current | Accepting new patients |
Locations
301 University Blvd
Bldg 4TH
Galveston, TX 77555
Phone (281) 661-1573
301 University Blvd
Bldg 4
Galveston, TX 77555
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
2525 W Bellfort Ave
Ste 194
Houston, TX 77054
Phone (281) 661-1573
2660 Gulf Fwy S
#A
League City, TX 77573
Phone (832) 505-2200
2785 Gulf Fwy S
Ste 165
League City, TX 77573
Phone (832) 505-0139
2001 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 434-8044
Organizations & group practices 5
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Houston, TX
- NPI 1659617009
-
- Anatomic Pathology & Clinical Pathology Physician
- Houston, TX
- NPI 1306879705
-
dba ADG Houston Path Lab
- Clinical Medical Laboratory
- Houston, TX
- NPI 1609592450
-
- Dermatopathology (Pathology) Physician
- Galveston, TX
- NPI 1235924879
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Texas Medical Branch
- General Acute Care Hospital
- Galveston, TX
- NPI 1548226988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1457612749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775550783",
"telephone_number": "409-772-1911",
"fax_number": "409-772-4456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"address_2": "UNIVERSITY OF TEXAS MEDICAL BRANCH-DERMATOLOGY",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775550783",
"telephone_number": "409-772-1911",
"fax_number": "409-772-4456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JANICE",
"middle_name": "MAY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-03",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "TX",
"license": "Q5126",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "BP10044148",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "BP20046284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galveston, TX
- Frank Buchanan Willis Jr., MBBS, PHD, FACSM
- Maurice Willis, MD
- Miranda Elisabeth Willis, DO
- Phylette Nicole Willis, LICENSED PSYCHOLOGIS
- Bryan Zoran Wilson, M.D.
- Sarah Wind, MS-LCDC
- Grace Caroline Windham, M.S., CCC-SLP
- Windsor Nursing Center Partners of Galveston, LTD. (Windsor Nursing and Rehabilitation Center of Galveston)
- Grace Anna Windsor, FNP-C
- Tonie Wingate, L.M.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.