Individual provider Active NPI

Allen L Dennis, MD

  • Interventional Pain Medicine Physician
  • Georgetown, TX
National Provider Identifier
1912044793
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
M6102 Issued in TX
Practice address
3316 Williams Dr Ste 150
Georgetown, TX 78628-2891
Phone
(512) 244-4272
NPI assigned
Jan 31, 2007
Last updated
Apr 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X M6102 TX Primary

Addresses

Primary practice location

3316 Williams Dr Ste 150
Georgetown, TX 78628-2891

Mailing address

2000 S Mays St
Ste 201
Round Rock, TX 78664-7531
Phone (512) 244-4272

Other practice location 1

2000 S Mays St
Ste 201
Round Rock, TX 78664-7531
Phone (512) 244-4272

Other identifiers 1

IdentifierTypeStateIssuer
187391109MedicaidTX

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
I20071017000852 TX Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Emergency Medicine 3375639644 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
University of Texas Medical Branch at Galveston, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mark Malone MD PAGroup PAC ID 2567369424, 102 clinicians

Practice addresses (Care Compare)

1106 College St
Suite C
Bastrop, TX 78602-3948
Phone (512) 244-4272

2000 S Mays St
Round Rock, TX 78664-7580
Phone (512) 244-4272

3316 Williams Dr
Suite 150
Georgetown, TX 78628-2891
Phone (512) 244-4272

6000 S Mopac
Suite 100
Austin, TX 78749
Phone (512) 244-4272

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.56 of 100Reported as individual
Quality
77.84
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Mar 30, 2012 Accepting new patients
Mark Malone MD PA CurrentSince Dec 1, 2013 Accepting new patients
Seminole Hospital District of Gaines County Texas CurrentSince Jun 15, 2007 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Mar 30, 2012 Accepting new patients
Seminole Hospital District of Gaines County Texas CurrentSince Jun 15, 2007 Accepting new patients
Mark Malone, MD PA CurrentSince Dec 1, 2013 Accepting new patients

Locations

6000 S Mopac Expy
Ste 100
Austin, TX 78749

1106 College St
Ste C
Bastrop, TX 78602
Phone (512) 244-2895

110 Shult Dr
Columbus, TX 78934
Phone (979) 493-7560

3316 Williams Dr
Ste 150
Georgetown, TX 78628
Phone (817) 644-3400

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

2200 N Bryan Ave
Lamesa, TX 79331
Phone (806) 872-2183

1500 S Sunset Ave
Littlefield, TX 79339
Phone (806) 385-6411

2000 S Mays St
Ste 201
Round Rock, TX 78664
Phone (512) 492-3743

209 NW 8th St
Seminole, TX 79360
Phone (432) 758-5811

Interoperability endpoints

  • Direct secure messaging: allen.dennis.1@24201.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1912044793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S MAYS ST",
            "address_2": "STE 201",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647531",
            "telephone_number": "512-244-4272",
            "fax_number": "512-244-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 WILLIAMS DR STE 150",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282891",
            "telephone_number": "512-244-4272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 S Mays St",
            "address_2": "STE 201",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786647531",
            "country_code": "US",
            "telephone_number": "512-244-4272",
            "fax_number": "512-244-2895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "ALLEN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "M6102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187391109",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.