Individual provider Active NPI

Allison Marie Rivera Metzinger, M.D.

  • Dermatology Physician
  • Houston, TX
National Provider Identifier
1710007778
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
M2772 Issued in TX
Practice address
915 Gessner Rd
Suite 860
Houston, TX 77024
Phone
(713) 468-2200
NPI assigned
Mar 30, 2007
Last updated
Aug 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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 M2772 TX Primary

Addresses

Primary practice location

915 Gessner Rd
Suite 860
Houston, TX 77024

Mailing address

1314 E Sonterra Blvd Ste 2201
San Antonio, TX 78258-4287
Phone (210) 496-5792

Other practice location 1

1314 E Sonterra Blvd Ste 2201
San Antonio, TX 78258-4287
Phone (210) 496-5792

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
I20140321000248 TX Practitioner - Dermatology 9537390208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Baylor College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonterra Dermatology PLLCGroup PAC ID 5193972859, 9 clinicians

Practice addresses (Care Compare)

1314 E Sonterra Blvd
Suite 2201
San Antonio, TX 78258-4287
Phone (210) 496-5792

Merit-based Incentive Payment System (MIPS)

Final score
74.72 of 100Reported as group
Quality
54.09
Promoting interoperability
100
Improvement activities
40
Cost
61.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions830
Skin biopsy160

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sonterra Dermatology PLLC CurrentSince Aug 1, 2018 Accepting new patients
Greg Willaim Pearson, MD Dermatology Past Accepting new patients
Neil F Haddock MD PA PastSince Aug 1, 2018 Accepting new patients

Locations

1314 E Sonterra Blvd
Ste 2201
San Antonio, TX 78258
Phone (210) 496-5792

2632 Broadway St
Ste 201N
San Antonio, TX 78215
Phone (210) 226-0040

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, 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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1710007778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 E SONTERRA BLVD STE 2201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584287",
            "telephone_number": "210-496-5792",
            "fax_number": "210-496-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 GESSNER RD",
            "address_2": "SUITE 860",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77024",
            "telephone_number": "713-468-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1314 E Sonterra Blvd Ste 2201",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584287",
            "country_code": "US",
            "telephone_number": "210-496-5792",
            "fax_number": "210-496-7601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METZINGER",
        "first_name": "ALLISON",
        "middle_name": "MARIE RIVERA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "M2772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.