DR. ALPESH D DESAI
NPI 1386696904
Dermatology in Houston, TX
Quality Rating: 94.05 out of 100 score
NPI Status: Active since May 16, 2006
- NPI Profile Information
- Primary Taxonomy
- Secondary Taxonomies
- Insurance Plans Accepted
- Medicare Participation & PECOS Status
- Areas of Expertise
- Physician Visit Costs
- Overall Quality Performance
- Quality Reporting
- Hospital Affiliations - Privileges
- NPI Validation
- Other Providers Same Location
- Frequently Asked Questions
- Individual
- Male
- Years of Experience 26
- Dermatology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About ALPESH DESAI
This page provides the complete NPI Profile along with additional information for Alpesh Desai, a provider established in Houston, Texas with a medical specialization in Dermatology and more than 26 years of experience. He graduated from Kansas City University Of Med & Biosciences, College Of Osteo Med in 2000. The healthcare provider is registered in the NPI registry with number 1386696904 assigned on May 2006. The practitioner's primary taxonomy code is 207N00000X with license number M1072 (TX). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1386696904
- Provider Name
- DR. ALPESH D DESAI
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2120 ASHLAND ST HOUSTON, TX 77008
- Location Phone
- (713) 864-2659
- Mailing Address
- 2120 ASHLAND ST HOUSTON, TX 77008
- Mailing Phone
- (713) 864-2659
- Medical School Name
- KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
- Graduation Year
- 2000
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-16-2006
- Last Update Date
- 09-09-2021
- Code Navigator
A dermatologist like Alpesh Desai is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- M1072
- License State
- TX
- Taxonomy Description
- A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 174400000X | Other Service Providers | Specialist | M1072 (TX) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold (QualChoice) - POS
- Elite Gold (QualChoiceLife) - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Everyday Silver (QualChoiceLife) - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Standard Expanded Bronze - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Standard Expanded Bronze - PPO
- Standard Expanded Bronze + Vision + Adult Dental - PPO
- Standard Gold - PPO
- Standard Gold + Vision + Adult Dental - PPO
- Standard Silver - PPO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- MyBlue Health Bronze? 402 - HMO
- CHRISTUS Bronze - HMO
- CHRISTUS Bronze Essential - HMO
- CHRISTUS Bronze Essential Plus - HMO
- CHRISTUS Bronze Plus - HMO
- CHRISTUS Catastrophic - HMO
- CHRISTUS Gold - HMO
- CHRISTUS Gold Essential - HMO
- CHRISTUS Gold Essential Plus - HMO
- CHRISTUS Gold Plus - HMO
- CHRISTUS Silver - HMO
- CHRISTUS Silver Essential - HMO
- CHRISTUS Silver Essential Plus - HMO
- CHRISTUS Silver Plus - HMO
- CHRISTUS Standard Expanded Bronze - HMO
- CHRISTUS Standard Gold - HMO
- CHRISTUS Standard Silver - HMO
- Community Premier Bronze 003 (No deductible for PCP, Free Preventive Care, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Bronze 018 (No deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Gold 005 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Gold 021 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Silver 020 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Select Bronze 016 (No deductible for PCP & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Select Gold 022 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Select Silver 019 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Simple PCP Saver - EPO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
- WellCare Secure Health Bronze - PPO
- WellCare Secure Health Gold - PPO
- WellCare Secure Health Silver - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
P00337598 | OTHER (01) | TX | RAILROAD MEDICARE |
Medicare Participation & PECOS Enrollment Status
Alpesh Desai is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Alpesh Desai is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9931129012
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20051205000272, I20240523002407
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)
Application of light by qualified health care professional to destroy precancer skin growth
Application of light with debridement to destroy precancer skin growth
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less
Biopsy of ear
Biopsy of lip
Biopsy of related skin growth, each additional growth
Biopsy of related skin growth, first growth
Calculation of radiation therapy dose
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm
Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm
Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm
Complicated repair of wound of trunk, 1.1-2.5 cm
Complicated repair of wound of trunk, 2.6-7.5 cm
Continuing radiation therapy consultation per week
Design and construction of complex radiation treatment device
Design and construction of intermediate radiation treatment device
Design and construction of simple radiation treatment device
Destruction of precancer skin growth, 1 growth
Destruction of precancer skin growth, 15 or more growths
Destruction of precancer skin growth, 2-14 growths
Destruction of skin growth, 1-14 growths
Destruction of skin growth, 15 or more growths
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Injection into skin growth, 1-7 growths
Injection into skin growth, more than 7 growths
Injection of drug or substance under skin or into muscle
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
Intermediate radiation therapy planning
Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
Melanoma (skin cancer) excision
New patient custodial care facility, group care, or assisted living visit, typically 45 minutes
New patient office or other outpatient visit, 15-29 minutes
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
Obtaining data needed to develop the optimal radiation treatment, 1 treatment area
Obtaining data needed to develop the optimal radiation treatment, 2 treatment areas
Punch biopsy, each additional skin growth
Punch biopsy, first skin growth
Radiation treatment management, 5 treatment sessions
Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm
Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm
Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm
Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm
Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
Revita, per square centimeter
Shaving of skin growth of body, arms, or legs, 0.5 cm or less
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm
Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
Simple or single drainage of skin abscess
Simple radiation therapy planning
Superficial and/or low voltage radiation treatment delivery
Test for allergy using skin patch
Ultrasonic guidance for placement of radiation therapy fields
Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter
Aminolevulinic Acid HCL is a medication applied to the skin to treat certain types of skin conditions. It works by making the skin more sensitive to light, which helps to kill abnormal skin cells. The 20% solution is a single dose of 354 mg.
This service was performed 103 times for 56 patientsThis procedure involves a healthcare professional using a special light to target and destroy precancerous skin growths. It's a non-invasive method aimed at preventing the development of skin cancer. The process is safe, performed by trained professionals, and usually quick.
This service was performed 47 times for 34 patientsThis procedure involves applying a special light source to the skin after removing dead tissue (debridement). The light helps destroy precancerous growths, preventing them from developing into skin cancer. It's a safe and effective method to keep your skin healthy.
This service was performed 19 times for 17 patientsThis procedure involves applying a skin substitute graft to a wound that's 25.0 sq cm or less, located on areas such as the face, scalp, eyelids, mouth, neck, ears, around eyes, hands, feet, fingers, or toes. The graft aids in wound healing and tissue regeneration.
This service was performed 123 times for 63 patientsThis procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.
This service was performed 261 times for 122 patientsA biopsy of the ear is a medical procedure where a small sample of tissue is taken from your ear for examination. This helps doctors diagnose any abnormalities or diseases. It's a simple process, usually done under local anesthesia, and has minimal risks.
This service was performed 90 times for 86 patientsA biopsy of the lip involves removing a small piece of tissue from your lip. This tissue is then examined under a microscope to check for abnormalities, like cancer. The procedure is typically quick and involves a local anesthetic to minimize discomfort.
This service was performed 12 times for 12 patientsA biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
This service was performed 925 times for 583 patientsA biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
This service was performed 1,645 times for 1,352 patientsRadiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
This service was performed 246 times for 180 patientsThis procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.
This service was performed 26 times for 23 patientsThis is a surgical procedure to mend a complex wound between 1.1 to 2.5 cm on your scalp, arm, or leg. It involves cleaning the wound, removing any damaged tissue, and stitching the skin back together. This helps the wound heal properly and reduces the risk of infection.
This service was performed 26 times for 26 patientsThis is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.
This service was performed 32 times for 31 patientsThis is a procedure to repair a complex wound on your body's main part, between your neck and legs. The wound size is around 1.1 to 2.5 cm. It involves careful cleaning, possible removal of damaged tissue, and precise stitching to promote healing.
This service was performed 36 times for 35 patientsThis service involves the intricate repair of a wound on your body's main structure, between your neck and limbs. The wound measures 2.6-7.5 cm. The procedure includes deep-layer stitching and may involve repairing damaged tissue.
This service was performed 18 times for 18 patientsContinuing radiation therapy consultation per week involves regular meetings with your healthcare team. These sessions help monitor your progress, manage side effects, and adjust your treatment plan if necessary. It's a key part of ensuring the effectiveness of your radiation therapy.
This service was performed 433 times for 158 patientsThe design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.
This service was performed 136 times for 124 patientsThe design and construction of an intermediate radiation treatment device is a process where a custom device is made to help deliver radiation therapy. This device is designed to focus radiation beams precisely on the area needing treatment, minimizing exposure to surrounding healthy tissues.
This service was performed 13 times for 13 patientsA simple radiation treatment device is designed and built to target specific areas in your body with high energy rays. This process is carefully planned to ensure that the radiation accurately reaches the area needing treatment, while minimizing exposure to healthy tissues.
This service was performed 56 times for 51 patients"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
This service was performed 1,906 times for 1,365 patientsThis procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
This service was performed 523 times for 395 patientsThis procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
This service was performed 7,169 times for 1,082 patients"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
This service was performed 506 times for 417 patients"Destruction of skin growth" refers to a procedure where unwanted skin growths, such as warts or moles, are removed. In this case, 15 or more growths are treated. Techniques may include freezing, burning, or laser therapy. It's a safe, quick process to improve skin health.
This service was performed 20 times for 18 patientsThis is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 344 times for 288 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 2,527 times for 1,757 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 1,135 times for 862 patientsThis procedure involves injecting medication into 1-7 skin growths. The medication helps to reduce the size of the growths or completely eliminate them. It's a simple, quick, and usually painless process performed by a medical professional.
This service was performed 49 times for 39 patientsThis procedure involves injecting medication into multiple skin growths (more than 7) to either shrink them or eliminate them. It's a safe, minimally invasive method often used for benign growths. Comfort during the process is ensured.
This service was performed 18 times for 13 patientsThis procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
This service was performed 78 times for 58 patientsTriamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
This service was performed 358 times for 95 patientsIntermediate radiation therapy planning is a process to design your radiation treatment. This involves detailed imaging scans to determine the exact location, shape, and size of the area needing treatment. The goal is to target the radiation precisely, minimizing harm to healthy tissues.
This service was performed 38 times for 37 patientsThis is a procedure to mend a moderate wound between 2.6-7.5 cm on your neck, hands, or feet. It involves cleaning the wound, removing any damaged tissue, and stitching it back together to promote healing and minimize scarring.
This service was performed 20 times for 19 patientsThis procedure involves the repair of a wound that is located on the scalp, underarms, trunk, arms, or legs and is 2.5 cm or less in size. The repair is intermediate, meaning it's more complex than a simple closure, but not as extensive as a complex repair.
This service was performed 54 times for 51 patientsThis procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.
This service was performed 90 times for 83 patientsMelanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.
This service was performed for 431 patientsThis service involves a medical professional visiting a new patient at a care facility or assisted living for about 45 minutes. During this visit, the professional will assess the patient's health, discuss any concerns, and plan for future care. This service aims to ensure the patient's well-being and comfort in their new environment.
This service was performed 16 times for 16 patientsThis service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
This service was performed 142 times for 142 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 749 times for 749 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 170 times for 170 patientsThis procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.
This service was performed 4,136 times for 201 patientsThis procedure involves collecting necessary information to create the best radiation treatment plan for two distinct areas. Advanced imaging techniques are used to map the areas, ensuring precise targeting during treatment, minimizing harm to healthy tissues.
This service was performed 39 times for 38 patientsA punch biopsy is a procedure where a small, circular tool removes a sample of your skin growth. This allows for testing to identify the nature of the growth. If there are multiple growths, each additional one may also need a biopsy.
This service was performed 40 times for 38 patientsA punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.
This service was performed 58 times for 58 patientsRadiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
This service was performed 541 times for 199 patientsThis procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.
This service was performed 132 times for 126 patientsThis procedure involves the removal of a cancerous skin growth, between 2.1 and 3.0 cm, from the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The goal is to eliminate all cancer cells while minimizing scarring.
This service was performed 110 times for 103 patientsThis procedure involves removing a cancerous skin growth measuring 3.1-4.0 cm on the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The wound is stitched for healing. Regular follow-ups ensure complete removal and recovery.
This service was performed 14 times for 14 patientsThis procedure involves the surgical removal of a cancerous skin growth on the face, ears, eyelids, nose, lips, or mouth. The growth is between 1.1-2.0 cm in size. This is done to prevent the cancer from spreading and to restore health.
This service was performed 27 times for 26 patientsThis procedure involves the careful removal of a cancerous growth on the face, ears, eyelids, nose, lips, or mouth that measures between 2.1 to 3.0 cm. The goal is to eliminate the cancer while preserving surrounding healthy tissue.
This service was performed 12 times for 12 patientsThis procedure involves the careful removal of a cancerous skin growth measuring between 1.1 to 2.0 cm, located on the scalp, neck, hands, or feet. The goal is to eliminate the cancer and prevent its spread. This is done under local anesthesia to minimize discomfort.
This service was performed 35 times for 33 patientsThis procedure involves removing a cancerous growth on the scalp, neck, hands, or feet that measures between 2.1 and 3.0 cm. The process includes numbing the area, excising the growth, and then stitching the wound for healing. The aim is to eliminate cancer cells and prevent spread.
This service was performed 18 times for 17 patientsThis procedure involves the removal of a noncancerous skin growth on your body, arms, or legs. The growth is between 0.6-1.0 cm in size. It's typically a simple process where the growth is cut away and the area is then stitched up for healing.
This service was performed 53 times for 50 patientsThis procedure involves the removal of a noncancerous skin growth on the body, arms, or legs that is between 1.1 and 2.0 cm in size. It's a safe and routine procedure performed by a medical professional to improve your skin health and appearance.
This service was performed 85 times for 79 patientsThis is a procedure where a noncancerous skin growth, sized 2.1-3.0 cm, on the body, arms, or legs is removed. It's typically done under local anesthesia. The process involves cutting out the growth and stitching the skin back together. The aim is to eliminate discomfort and prevent potential health issues.
This service was performed 21 times for 21 patientsThis procedure involves the removal of a noncancerous skin growth on the face, ears, eyelids, nose, lips, or mouth that is 0.5 cm or less in size. It is a safe, routine treatment that helps maintain skin health and appearance.
This service was performed 13 times for 13 patientsThis procedure involves the removal of a noncancerous skin growth on areas of the face such as the nose, lips, mouth, ears, or eyelids. The growth size is between 0.6-1.0 cm. The goal is to improve comfort, function, or appearance.
This service was performed 19 times for 19 patientsThis procedure involves the removal of a noncancerous skin growth on areas like the scalp, neck, hands, or feet. The size of the growth is between 0.6-1.0 cm. The process is performed by a medical professional and helps maintain skin health.
This service was performed 25 times for 25 patientsThis procedure involves the removal of a noncancerous skin growth in areas such as the scalp, neck, hands, or feet. The growth being removed is between 1.1 to 2.0 cm in size. The process is safe, typically involves local anesthesia, and is performed by a healthcare professional.
This service was performed 28 times for 25 patientsRevita is a non-surgical treatment aimed at stimulating hair growth. It uses advanced technology to target individual square centimeters of the scalp, promoting thicker, healthier hair. This procedure is comfortable, safe, and requires no downtime.
This service was performed 1,319 times for 53 patientsThis is a simple procedure where a small skin growth on your body, arms, or legs, measuring 0.5 cm or less, is carefully shaved off. It's typically quick, with minimal discomfort. It helps to prevent any potential health issues related to the growth.
This service was performed 27 times for 27 patientsThis procedure involves the careful removal of a small skin growth on the body, arms, or legs. It's done by shaving off the growth that's 0.6-1.0 cm in size. It's a common, safe method to treat non-cancerous skin growths and improve skin appearance.
This service was performed 96 times for 88 patientsThis procedure involves the careful removal of a skin growth on your body, arms, or legs. The growth is between 1.1 and 2.0 cm. A special tool is used to shave off the growth, which is a quick and relatively painless process.
This service was performed 59 times for 56 patientsThis procedure involves the careful removal of a small skin growth on the face or related areas. A medical professional uses a special tool to gently shave off the growth, which is 0.5 cm or less. It's a common, safe procedure.
This service was performed 27 times for 26 patientsThis procedure involves removing a small skin growth on the face or related areas like the ears, eyelids, nose, lips, or mouth. The growth is gently shaved off, typically under local anesthesia. It's a quick, safe process for growths between 0.6-1.0 cm in size.
This service was performed 26 times for 25 patientsThis is a procedure where a small skin growth on the scalp, neck, hands, or feet, measuring 0.5 cm or less, is carefully removed. The process involves shaving off the growth layer by layer to ensure complete removal. It's a safe and common practice.
This service was performed 13 times for 13 patientsThis procedure involves the careful removal of a small skin growth, between 0.6-1.0 cm in size, from the scalp, neck, hands, or feet. It's done using a special tool to gently shave off the growth, ensuring minimal discomfort.
This service was performed 33 times for 32 patientsThis procedure involves the careful removal of a skin growth between 1.1 to 2.0 cm in size. The growth could be located on the scalp, neck, hands, or feet. The process is done using a sharp instrument to shave off the growth, promoting healthier skin.
This service was performed 18 times for 18 patientsA simple or single drainage of skin abscess is a procedure to remove pus from a skin infection. A small cut is made on the abscess, the pus is drained out, and the area is cleaned. This helps to reduce pain, speed up recovery, and prevent the spread of infection.
This service was performed 35 times for 34 patientsSimple radiation therapy planning is a process to determine the exact area on your body where the radiation will be directed. It involves imaging studies like CT scans to precisely target the disease, minimizing harm to healthy tissue. It's a crucial step in your treatment journey.
This service was performed 152 times for 143 patientsSuperficial and/or low voltage radiation treatment delivery is a non-invasive procedure used to treat certain diseases like skin cancer. It uses low energy radiation to target and destroy abnormal cells, aiding in halting disease progression.
This service was performed 3,996 times for 195 patientsA skin patch test helps identify allergens causing skin reactions. Small patches with potential allergens are applied to your skin, usually on the back. After 48 hours, they are removed to check for reactions. It's a safe and effective way to diagnose allergies.
This service was performed 900 times for 25 patientsUltrasonic guidance for radiation therapy fields involves using sound waves to create images of the treatment area. This helps to precisely locate the area needing radiation therapy, ensuring the treatment is directed accurately, minimizing harm to healthy tissues.
This service was performed 3,972 times for 216 patientsThese are types of advanced wound care treatments. Woundfix, Biowound, and their plus or xplus versions are designed to promote faster healing. They are applied per square centimeter of the wound. The plus versions have additional healing components, and xplus offers even more advanced care.
This service was performed 4,014 times for 126 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.6 for a new patient copayment and $18.15 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 77008 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.4
- Minimum New Patient Price $58.24
- Maximum New Patient Price $176.98
- Average New Patient Copayment $22.6
- Minimum New Patient Copayment $14.56
- Maximum New Patient Copayment $44.24
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.62
- Minimum Established Patient Price $18.6
- Maximum Established Patient Price $143.93
- Average Established Patient Copayment $18.15
- Minimum Established Patient Copayment $4.65
- Maximum Established Patient Copayment $35.98
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 94.05, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 94.05 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: N/A
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 93
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
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Documentation of Current Medications in the Medical Record | 18% | 15795 |
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
e-Prescribing | 97% | 2767 |
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
Health Information Exchange | 2% | 50 |
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral. | ||
Immunization Registry Reporting | Yes | N/A |
The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data. | ||
Medication Reconciliation | 10% | 8092 |
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
Patient-Specific Education | 69% | 12487 |
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
Pneumococcal Vaccination Status for Older Adults | 57% | 4197 |
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
Provide Patient Access | 60% | 12487 |
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
Secure Messaging | 0% | 12487 |
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
Security Risk Analysis | Yes | N/A |
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
Specialized Registry Reporting | Yes | N/A |
The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. |
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Alpesh Desai is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
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CHRISTUS SANTA ROSA MEDICAL CENTER | 2827 BABCOCK ROAD SAN ANTONIO, TX 78229 | (210) 704-3342 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 3 | 8 | 6 | 6 | 9 | 6 | 9 | 0 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 16 | 6 | 12 | 9 | 12 | 9 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 1 + 6 + 6 + 1 + 2 + 9 + 1 + 2 + 9 + 0 + 24 = 66 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 66 = 4 | 4 |
The NPI number 1386696904 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1639170392 | BARRY L HARRELL M.D. Individual | Specialist | 2120 ASHLAND ST HOUSTON, TX 77008 (713) 864-2659 |
1497705214 | BARRY L HARRELL MD PA Organization | Specialist | 2120 ASHLAND ST HOUSTON, TX 77008 (713) 864-2659 |
1124078985 | ALPESH D. DESAI, D.O. P.A. Organization | Specialist | 2120 ASHLAND ST HOUSTON, TX 77008 (713) 864-2659 |
1275658759 | MR. JOHN MORRISON M.D. Individual | Dermatology | 2120 ASHLAND ST HOUSTON, TX 77008 (626) 823-1461 |
1063682748 | TEJAS D. DESAI D.O., P.A. Organization | Dermatology | 2120 ASHLAND ST HOUSTON, TX 77008 (713) 864-2659 |
1831642073 | RACHEL WERNER PA Individual | Physician Assistant | 2120 ASHLAND ST HOUSTON, TX 77008 (713) 864-2659 |
1790804946 | PAUL THOMAS DOCIS PA-C Individual | Physician Assistant | 2120 ASHLAND ST HOUSTON, TX 77008 (979) 297-6458 |
1902981533 | DR. TEJAS D DESAI D.O. Individual | Dermatology | 2120 ASHLAND ST HOUSTON, TX 77008 (713) 864-2659 |
1619416286 | OBEN BLAIR OJONG Individual | Dermatology | 2120 ASHLAND ST HOUSTON, TX 77008 (713) 864-2659 |
1871006510 | ANDREA LAYNE BOWDEN PA-C, MPAS Individual | Dermatology | 2120 ASHLAND ST HOUSTON, TX 77008 (832) 981-7310 |
1992181358 | COURTNEY ANN JONES PA-C Individual | Physician Assistant (Medical) | 2120 ASHLAND ST HOUSTON, TX 77008 (713) 864-2659 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386696904, enumerated in the NPI registry as an "individual" on May 16, 2006
The provider is located at 2120 Ashland St Houston, Tx 77008 and the phone number is (713) 864-2659
The provider's speciality is Dermatology with taxonomy code 207N00000X
The provider has more than 26 years of experience. He graduated from Kansas City University Of Med & Biosciences, College Of Osteo Med in 2000.
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Arizona Complete. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.
Medicare beneficiaries should expect a typical cost of $90.4 with an average copayment of $22.6 for new patient appointments. Established patients should expect a typical charge of $72.62 and an average copayment of 18.15. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg), Application of light by qualified health care professional to destroy precancer skin growth, Application of light with debridement to destroy precancer skin growth, Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less, Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less, Biopsy of ear, Biopsy of lip, Biopsy of related skin growth, each additional growth, Biopsy of related skin growth, first growth, Calculation of radiation therapy dose, Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm, Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm, Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm, Complicated repair of wound of trunk, 1.1-2.5 cm, Complicated repair of wound of trunk, 2.6-7.5 cm, Continuing radiation therapy consultation per week, Design and construction of complex radiation treatment device, Design and construction of intermediate radiation treatment device, Design and construction of simple radiation treatment device, Destruction of precancer skin growth, 1 growth, Destruction of precancer skin growth, 15 or more growths, Destruction of precancer skin growth, 2-14 growths, Destruction of skin growth, 1-14 growths, Destruction of skin growth, 15 or more growths, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Injection into skin growth, 1-7 growths, Injection into skin growth, more than 7 growths, Injection of drug or substance under skin or into muscle, Injection, triamcinolone acetonide, not otherwise specified, 10 mg, Intermediate radiation therapy planning, Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm, Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less, Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm, Melanoma (skin cancer) excision, New patient custodial care facility, group care, or assisted living visit, typically 45 minutes, New patient office or other outpatient visit, 15-29 minutes, New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes, Obtaining data needed to develop the optimal radiation treatment, 1 treatment area, Obtaining data needed to develop the optimal radiation treatment, 2 treatment areas, Punch biopsy, each additional skin growth, Punch biopsy, first skin growth, Radiation treatment management, 5 treatment sessions, Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm, Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm, Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm, Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm, Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm, Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm, Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm, Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm, Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm, Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm, Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less, Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm, Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm, Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm, Revita, per square centimeter, Shaving of skin growth of body, arms, or legs, 0.5 cm or less, Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm, Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm, Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less, Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm, Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less, Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm, Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm, Simple or single drainage of skin abscess, Simple radiation therapy planning, Superficial and/or low voltage radiation treatment delivery, Test for allergy using skin patch, Ultrasonic guidance for placement of radiation therapy fields and Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter.
The practitioner is affiliated to the following hospital(s): CHRISTUS SANTA ROSA MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on May 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.