Active NPI
Gregory D. Andreassian, M.D.,P.A.
- Surgery Physician
- Fredericksburg, TX
National Provider Identifier
1619973120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- H0136
- Practice address
- 205 W Windcrest St Ste 130
Fredericksburg, TX 78624-4478 - Phone
- (830) 997-6773
- Fax
- (830) 997-1961
- NPI assigned
- Jun 21, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | H0136 | TX | Primary |
Addresses
Primary practice location
205 W Windcrest St Ste 130
Fredericksburg, TX 78624-4478
Mailing address
205 W Windcrest St
Ste 130
Fredericksburg, TX 78624-4478
Phone (830) 997-6773
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS PHS Naihs Chinle Comprehensive Health Care Facility | Current | Accepting new patients | |
| DHHS PHS Naihs Chinle Comprehensive Health Care Facility | Current | Accepting new patients | |
| DHHS PHS Naihs Chinle Comprehensive | Current | Accepting new patients |
Organizations & group practices 3
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.
-
dba Chinle Comprehensive Health Care Facility
- General Acute Care Hospital
- Chinle, AZ
- NPI 1508800129
TX
-
dba Chinle Comprehenive Health Care Facility
- Ambulatory Surgical Clinic/Center
- Chinle, AZ
- NPI 1922253129
-
dba Rock Point Field Clinic
- General Acute Care Hospital
- Rock Point, AZ
- NPI 1154344133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1619973120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 W WINDCREST ST",
"address_2": "STE 130",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786244478",
"telephone_number": "830-997-6773",
"fax_number": "830-997-1961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 W WINDCREST ST STE 130",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786244478",
"telephone_number": "830-997-6773",
"fax_number": "830-997-1961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREASSIAN",
"first_name": "GREGORY",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D.,P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "H0136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.