Individual provider Active NPI

Andrew McSwigan Quinn III, M.D.

  • Dermatology Physician
  • Houston, TX
National Provider Identifier
1588044978
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
S0539 Issued in TX
Practice address
4110 Bellaire Blvd Ste 202
Houston, TX 77025-1057
Phone
(832) 753-7546
Fax
(832) 753-7548
NPI assigned
Jun 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 31585 OK
General Practice Physician 208D00000X S0539 TX
Dermatology Physician 207N00000X S0539 TX Primary

Addresses

Primary practice location

4110 Bellaire Blvd Ste 202
Houston, TX 77025-1057

Mailing address

3070 College St Ste 208
Beaumont, TX 77701-4688
Phone (409) 835-1333

Other practice location 1

4 Bayou Brandt
Beaumont, TX 77706-2612
Phone (832) 753-7546

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
I20191029001643 TX Practitioner - Dermatology 8426380262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical School at Houston, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrew M. Quinn III, MD PLLCGroup PAC ID 3971978206, 2 clinicians

Practice addresses (Care Compare)

4110 Bellaire Blvd
Suite 202
Houston, TX 77025-1057
Phone (832) 753-7546

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision16
Removal of skin lesions2128
Removal of skin cancer276
Removal or shaving of skin growth520
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31585OKMDInternal Medicine Physician
S0539TXMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew M. Quinn III, MD PLLC Dermatology CurrentSince May 1, 2023 Accepting new patients

Locations

4 Bayou Brandt
Beaumont, TX 77706
Phone (832) 753-7546

4110 Bellaire Blvd
Ste 202
Houston, TX 77025
Phone (817) 223-9785

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00012

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1588044978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 COLLEGE ST STE 208",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014688",
            "telephone_number": "409-835-1333",
            "fax_number": "409-835-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 BELLAIRE BLVD STE 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251057",
            "telephone_number": "832-753-7546",
            "fax_number": "832-753-7548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Bayou Brandt",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777062612",
            "country_code": "US",
            "telephone_number": "832-753-7546",
            "fax_number": "832-753-7548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINN",
        "first_name": "ANDREW",
        "middle_name": "MCSWIGAN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-01",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "31585",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "S0539",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "S0539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.