Madeleine Gantz, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

T0487 Issued in TX

Practice address

1900 Saint James PL Ste 600
Houston, TX 77056-4136

Phone

(713) 850-0240

NPI assigned

May 24, 2017

Last updated

Jul 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

Drexel University College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Westlake Dermatology PAGroup PAC ID 6305817230, 52 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Westlake Dermatology PA

  • Dermatology Physician
  • Austin, TX
  • NPI 1518939347
  Medicare reassignment Care Compare group NPD
• Suzanne Bruce and Associates, P.a.

  • Dermatology Physician
  • Houston, TX
  • NPI 1598895831
  NPD
• Westlake Dermatology, PA

  • Dermatology Physician
  • Alamo Heights, TX
  • NPI 1265086045
  NPD

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1821526674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E PFLUGERVILLE PKWY STE 1102",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786606148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SAINT JAMES PL STE 600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770564136",
            "telephone_number": "713-850-0240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12319 N Mopac Expy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787582486",
            "country_code": "US",
            "telephone_number": "512-837-3376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13830 Sawyer Ranch Rd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Dripping Springs",
            "state": "TX",
            "postal_code": "786205514",
            "country_code": "US",
            "telephone_number": "512-829-0009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 E Pflugerville Pkwy Ste 1102",
            "address_purpose": "LOCATION",
            "city": "Pflugerville",
            "state": "TX",
            "postal_code": "786606148",
            "country_code": "US",
            "telephone_number": "512-252-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3944 S Fm 620",
            "address_2": "Bldg 6, Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bee Cave",
            "state": "TX",
            "postal_code": "78738",
            "country_code": "US",
            "telephone_number": "512-366-8568",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3705 Medical Pkwy Ste 340",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787051023",
            "country_code": "US",
            "telephone_number": "512-454-3781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5145 Fm 620 N Ste B-110",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787321852",
            "country_code": "US",
            "telephone_number": "512-266-0007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANTZ",
        "first_name": "MADELEINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "T0487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Gant Jr.
• Ganta Diagnostics LLC
• Niharika Ganti, M.D.
• Shavonia L. Gants
• Milton Jay Gantt II, LCSW
• David H. Ganz, PTA
• Alice Gao
• Emily Gao, MD
• Eva Gao, OD
• Feng Gao, MD

• Dermatology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.
• 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.

Verify at the official NPI Registry.