ANDREW N DENTINO (MD) – Internal Medicine Physician, NPI 1295739126
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
425 GERIATRIC MEDICINE in TX
Provider Addresses for ANDREW N DENTINO (MD)
1122 N.E. 13TH ST., ORB 1200
OUHSC DEPT. OF GERIATRIC MEDICINE
OKLAHOMA CITY, OK 73117
Phone: (405) 271-8558
Type: Mailing
5423 S MCCOLL RD
EDINBURG, TX 785399183
Phone: (956) 362-3575
Fax: (956) 362-3584
Type: Mailing
1122, Northeast 13th Street, Oklahoma City, Oklahoma County, Oklahoma, 73117, United States
ORB 1200
OKLAHOMA CITY, OK 731171039
Phone: (405) 271-8558
Type: Location
1330 E 6th St Ste 105
Weslaco, TX 785966608
Phone: (956) 296-7710
Fax: (956) 296-7705
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-06-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080611000259 | I | Geriatric Medicine | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73117)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | CT | |
| - | TX | |
| - | TX | |
| Internal Medicine | TX | |
| - | TX | |
| Family Practice, Geriatric Medicine | TX | |
| Nurse Practitioner | TX |
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