Individual provider Active NPI

Greg Krenek, M.D.

  • Dermatology Physician
  • Conroe, TX
National Provider Identifier
1669563458
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
J6529 Issued in TX
Practice address
503 Medical Center Blvd
Suite 140
Conroe, TX 77304-2928
Phone
(936) 756-0668
Fax
(936) 756-7787
NPI assigned
Sep 27, 2006
Last updated
Jan 26, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X J6529 TX Primary

Addresses

Primary practice location

503 Medical Center Blvd
Suite 140
Conroe, TX 77304-2928

Mailing address

503 Medical Center Blvd
Suite 140
Conroe, TX 77304-2928
Phone (936) 756-0668

Other identifiers 1

IdentifierTypeStateIssuer
0039MBOtherTXBLUE CROSS BLUE SHIELD

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
I20101020001286 TX Practitioner - Dermatology 1153379631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Texas a & M University System, HSC, College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greg Krenek, M.D., P.a.Group PAC ID 9537117015, 2 clinicians

Practice addresses (Care Compare)

503 Medical Ctr Blvd
Conroe, TX 77304-2928
Phone (936) 756-0668

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision241
Removal of skin lesions865
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy545

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J6529TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greg Krenek, M.D., P.a. Dermatology CurrentSince Jul 1, 1997 Accepting new patients

Locations

333 N Rivershire Dr
Ste 100
Conroe, TX 77304
Phone (409) 760-4454

503 Medical Center Blvd
Ste 140
Conroe, TX 77304
Phone (936) 756-0668

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232928000000",
    "number": "1669563458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 MEDICAL CENTER BLVD",
            "address_2": "SUITE 140",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042928",
            "telephone_number": "936-756-0668",
            "fax_number": "936-756-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 MEDICAL CENTER BLVD",
            "address_2": "SUITE 140",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042928",
            "telephone_number": "936-756-0668",
            "fax_number": "936-756-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRENEK",
        "first_name": "GREG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2009-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "J6529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0039MB",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.