ANDREW N DENTINO (MD) – Internal Medicine Physician, NPI 1295739126

ANDREW N DENTINO (MD) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in GERIATRIC MEDICINE, HOSPICE/PALLIATIVE CARE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 29405 (OK). The NPI Number for ANDREW N DENTINO (MD) is 1295739126

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW N DENTINO (MD)
NPI
1295739126
Phone
(405) 271-8558
Address
1122 N.E. 13TH ST., ORB 1200
Enumeration Date
9 June 2005
Last Update Date
30 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7137959955
Graduation Year
1989 (37 years ago)
PAC ID
2860460730
Group Practice PAC ID
7618006883
Professional Enrollment ID
I20080611000259
Address ID
TX770545636HO2626XWXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness75
Years active:20State licenses:3Digital endpointsOther names

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080611000259IGeriatric MedicineTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618006883View full group profile
NameSpecialtyState
-TX
Nurse PractitionerTX
Nurse PractitionerTX
Internal MedicineCT
-TX
-TX
Internal MedicineTX
-TX
Family Practice, Geriatric MedicineTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What identifier follows ANDREW N DENTINO (MD) across health systems?
The NPI 1295739126 uniquely identifies ANDREW N DENTINO (MD) in U.S. healthcare data.
Should I treat ANDREW N DENTINO (MD) as an active provider?
Patients and plans typically see ANDREW N DENTINO (MD) as active in the national extract.
How should patients interpret ANDREW N DENTINO (MD)'s specialty?
The extract shows Internal Medicine Physician for ANDREW N DENTINO (MD). Clinical services aligned with this taxonomy classification.
Which community is linked to ANDREW N DENTINO (MD)?
ANDREW N DENTINO (MD) shows a connection to Oklahoma City, Oklahoma in registry-derived data.
Who maintains ANDREW N DENTINO (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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