Individual provider Active NPI

Nina H Dereska, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Houston, TX
National Provider Identifier
1609842178
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
P0371 Issued in TX
Practice address
17510 W. Grand Parkway S.
Suite #500
Houston, TX 77479
Phone
(713) 486-1530
Fax
(832) 759-5904
NPI assigned
Feb 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X P0371 TX Primary

Addresses

Primary practice location

17510 W. Grand Parkway S.
Suite #500
Houston, TX 77479

Mailing address

17510 W. Grand Parkway S.
Suite #500
Houston, TX 77479
Phone (713) 486-1250

Other practice location 1

17510 W Grand Pkwy S
Suite 590
Sugar Land, TX 77479-2645
Phone (713) 578-3850

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ninadereska@direct.utphysicians.net Direct

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
I20110822000289 TX Practitioner - Obstetrics/Gynecology 9335150093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Florida College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians
Houston Female Urology PAGroup PAC ID 8729204599, 4 clinicians

Practice addresses (Care Compare)

17500 W Grand Pkwy S
Sugar Land, TX 77479-2562
Phone (281) 725-5000

18300 Katy Fwy
Suite 565
Houston, TX 77094-1385
Phone (281) 717-4003

8810 Hwy 6
Suite 100
Missouri City, TX 77459-7104
Phone (713) 486-1200

Hospital & facility affiliations

  • Houston Methodist West Hospital Hospital, Houston, TX, CCN 670077
  • Memorial Hermann Sugar Land Hospital Hospital, Sugar Land, TX, CCN 450848
  • Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847
  • Houston Methodist Sugarland Hospital Hospital, Sugar Land, TX, CCN 450820

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifesculpt Urogynecology PLLC CurrentSince Nov 1, 2025 Accepting new patients
Houston Female Urology PA CurrentSince Nov 1, 2025 Accepting new patients
Ut Physicians CurrentSince Jan 1, 2015 Accepting new patients
Ut Physicians CurrentSince Jan 1, 2015 Accepting new patients
Carilion Medical Center Past Accepting new patients
Carilion Emergency Services Inc Past Accepting new patients

Locations

18400 Katy Fwy
Ste 530
Houston, TX 77094
Phone (281) 717-4003

18300 Katy Fwy
Ste 565
Houston, TX 77094
Phone (281) 717-4003

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

22999 Highway 59 N
Ste 150
Kingwood, TX 77339
Phone (281) 358-2426

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

17510 W Grand Pkwy S
Ste 500
Sugar Land, TX 77479
Phone (281) 232-6700

17510 W Grand Pkwy S
Ste 550
Sugar Land, TX 77479
Phone (713) 486-1250

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

17510 W Grand Pkwy S
Ste 590
Sugar Land, TX 77479
Phone (281) 565-6999

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1609842178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17510 W. GRAND PARKWAY S.",
            "address_2": "SUITE #500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77479",
            "telephone_number": "713-486-1250",
            "fax_number": "832-945-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17510 W. GRAND PARKWAY S.",
            "address_2": "SUITE #500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77479",
            "telephone_number": "713-486-1530",
            "fax_number": "832-759-5904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17510 W Grand Pkwy S",
            "address_2": "Suite 590",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774792645",
            "country_code": "US",
            "telephone_number": "713-578-3850",
            "fax_number": "713-578-3859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERESKA",
        "first_name": "NINA",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "TX",
            "license": "P0371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ninadereska@direct.utphysicians.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "17510 W Grand Pkwy S",
            "address_2": "Suite 590",
            "city": "Sugar Land",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774792645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.