Active NPI
Nina H Dereska, MD
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- License
- P0371
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
- Memorial Hermann Sugar Land Hospital
- Memorial Hermann Katy Hospital
- Houston Methodist Sugarland Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.11 of 100
- Quality
- 69.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.63
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifesculpt Urogynecology PLLC | Current | Accepting new patients | |
| Houston Female Urology PA | Current | Accepting new patients | |
| Ut Physicians | Current | Accepting new patients | |
| Ut Physicians | Current | 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.
-
- Medical Specialty Clinic/Center
- Houston, TX
- NPI 1255750063
-
- Anesthesiology Physician
- Houston, TX
- NPI 1033157821
-
- Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
- Houston, TX
- NPI 1316827165
-
- Health Educator
- Houston, TX
- NPI 1316534472
-
- Emergency Medicine Physician
- Roanoke, VA
- NPI 1700839958
-
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sugar Land, TX
- NPI 1295788735
-
- General Acute Care Hospital
- Katy, TX
- NPI 1932152337
-
- General Acute Care Hospital
- Houston, TX
- NPI 1083937593
-
- General Acute Care Hospital
- Sugar Land, TX
- NPI 1497871628
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.