NPIMap

Individual provider Active NPI

Marco A Giannotti, M. D.

  • Specialist
  • Shenandoah, TX
National Provider Identifier
1932107067
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J7331 Issued in TX
Practice address
9180 Pinecroft Dr Ste 100
Shenandoah, TX 77380
Phone
(281) 367-6836
Fax
(281) 367-5545
NPI assigned
Jul 12, 2005
Last updated
Aug 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X J7331 TX Primary

Addresses

Primary practice location

9180 Pinecroft Dr Ste 100
Shenandoah, TX 77380

Mailing address

9180 Pinecroft Dr Ste 100
Shenandoah, TX 77380-3880
Phone (281) 367-6836

Other identifiers 10

IdentifierTypeStateIssuer
4754569-012OtherTXCIGNA
3231889OtherTXAETNA HMO
5621502OtherTXAETNA PPO
8J1224OtherTXBCBS
P00063148OtherTXMEDICARE RAILROAD
113215106MedicaidTX
4754569-013OtherTXCIGNA
4754569-014OtherTXCIGNA
31892OtherTXAMERICAID
P43964651OtherTXMULTIPLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110214000909 TX Practitioner - Obstetrics/Gynecology 5799773594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at Houston, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women's Healthcare Affiliates, P. a.Group PAC ID 1456349257, 5 clinicians

Practice addresses (Care Compare)

9180 Pinecroft Dr
Suite 100
Shenandoah, TX 77380-3880
Phone (713) 568-8513

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Healthcare Affiliates, P. a. Specialist CurrentSince Aug 1, 2003 Accepting new patients

Locations

800 Riverwood Ct
Ste 100
Conroe, TX 77304
Phone (409) 539-1434

9180 Pinecroft Dr
Ste 100
Shenandoah, TX 77380
Phone (281) 367-6836

920 Medical Plaza Dr
Ste 310
Shenandoah, TX 77380
Phone (281) 367-6836

Interoperability endpoints

  • Direct secure messaging: marco.giannotti.1@28202.direct.athenahealth.com

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.

Hospital & facility affiliations 10

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1932107067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9180 PINECROFT DR STE 100",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803880",
            "telephone_number": "281-367-6836",
            "fax_number": "281-367-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9180 PINECROFT DR STE 100",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "77380",
            "telephone_number": "281-367-6836",
            "fax_number": "281-367-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNOTTI",
        "first_name": "MARCO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J7331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4754569-012",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3231889",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5621502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8J1224",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00063148",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113215106",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4754569-013",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4754569-014",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAID",
            "identifier": "31892",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "P43964651",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.