Individual provider Active NPI

Adrienne Shoss Glaich, MD

  • Clinical & Laboratory Dermatological Immunology Physician
  • Houston, TX
National Provider Identifier
1699938563
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Dermatological Immunology PhysicianTaxonomy code 207NI0002X
License
MOO90 Issued in TX
Practice address
7500 Beechnut St
Ste 290
Houston, TX 77074-4335
Phone
(713) 988-8442
NPI assigned
Jul 9, 2008
Last updated
Aug 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X MOO90 TX Primary

Addresses

Primary practice location

7500 Beechnut St
Ste 290
Houston, TX 77074-4335

Mailing address

7515 Main St
Suite 240
Houston, TX 77030-4519
Phone (713) 791-9966

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
I20090826000585 TX Practitioner - Dermatology 0143375220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical Branch at Galveston, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derm Surgery Associates P.a.Group PAC ID 9436124278, 24 clinicians

Practice addresses (Care Compare)

6700 W Loop S
Suite 500
Bellaire, TX 77401-4120
Phone 7137919966130

Merit-based Incentive Payment System (MIPS)

Final score
99.94 of 100Reported as individual
Quality
99.87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision108
Removal of tissue1-10
Removal of skin lesions1663
Removal or shaving of skin growth159
Skin biopsy876

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MOO90TXMDClinical & Laboratory Dermatological Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Derm Surgery Associates P.a. CurrentSince May 1, 2012 Accepting new patients
Dermsouth, PA Past Accepting new patients

Locations

6700 West Loop S
Ste 500
Bellaire, TX 77401
Phone (713) 791-9966

7500 Beechnut St
Ste 290
Houston, TX 77074
Phone (713) 790-7800

7515 Main St
Ste 240
Houston, TX 77030
Phone (713) 791-9966

Organizations & group practices 2

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1699938563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 MAIN ST",
            "address_2": "SUITE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304519",
            "telephone_number": "713-791-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 BEECHNUT ST",
            "address_2": "STE 290",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770744335",
            "telephone_number": "713-988-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAICH",
        "first_name": "ADRIENNE",
        "middle_name": "SHOSS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2023-08-14",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "TX",
            "license": "MOO90",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.