DR. CLAUDE ANDREW DENHAM M.D.
NPI 1164460002
Internal Medicine - Medical Oncology in Dallas, TX

Q: What is Claude Denham's NPI number?

The NPI number for Claude Denham is 1164460002. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Q: What is Claude Denham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Q: When was this NPI record last updated?

The NPPES record for Claude Denham was last updated on September 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment

89.44/100

CMS Quality Rating

3410 WORTH ST, DALLAS, TX 75246(214) 370-1000(214) 370-1202 Get Directions Write a Review

NPPES record last updated: September 1, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Claude Andrew Denham M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CLAUDE ANDREW DENHAM M.D. (NPI 1164460002) is an individual medical oncology provider in Dallas, Texas, licensed in Texas (G3283) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and is a graduate of University Of Texas Medical Branch At Galveston (1982).

NPPES Registry Identity

NPI1164460002

Entity TypeIndividualMale

Primary Taxonomy207RX0202X

Provider Legal NameDR. CLAUDE ANDREW DENHAMCredential: M.D.

Location Address3410 WORTH STDallas, TX 75246-2003

Mailing AddressPo Box 911230Dallas, TX 75391-1230 · (972) 997-8000 · Fax (972) 437-9605

Phone(214) 370-1000

Fax(214) 370-1202

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1982

Enumeration DateJune 3, 2006

Last NPPES UpdateSeptember 1, 2011

✔ NPI 1164460002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RX0202X

License✔ Licensed in TX · G3283

Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

3410 WORTH ST, Dallas, TX 75246

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Other Identifiers 16

Medicare UPIND75162

Medicaid138265704TX

Medicaid138265702TX

Medicaid138265701TX

Medicaid138265706TX

Medicare PIN89M086TX

Other8R1424TX · Blue Cross Of Texas

Medicare PIN87813KTX

Other138265708TX · Chscn

Medicaid138265710TX

Medicare PIN88269KTX

Medicare PIN892823TX

Medicare PIN110077909TX

Medicaid138265705TX

Medicaid138265707TX

Medicaid138265703TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Claude Andrew Denham M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800931916

PECOS Enrollment IDI20100301000549

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Claude Denham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Oncology PA

Same address

Medical Oncology

3410 WORTH ST
Dallas, TX 75246

Reassigned Medicare billing, Texas enrollment
1,054 clinicians in this Medicare group

NPI 1003083445 (972) 997-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

270 services64 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

265 services62 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

257 services61 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This 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.

176 services58 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This 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.

150 services63 patients

Lactate dehydrogenase (enzyme) level 83615

A Lactate Dehydrogenase level test measures the amount of this enzyme in your body. It's often done when tissue damage is suspected, as high levels can indicate issues like heart disease, lung disease, liver disease, or blood disorders. This test helps in diagnosing and monitoring these conditions.

110 services47 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

41 services21 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

16 services16 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This 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.

16 services16 patients

Nuclear medicine study from skull base to mid-thigh with ct scan 78815

A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.

13 services11 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

13 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This 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.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450021

Location3500 Gaston AveDallas, TX 75246 · Dallas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$172.86 typical visit price

range $57.18 – $172.86

Typical copayment $43.21 (range $14.29 – $43.21)

Most-billed visit code 99205

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.44/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

75.85

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TEXAS ONCOLOGY PA

Internal Medicine (Medical Oncology)

3410 WORTH ST
DALLAS, TX 75246

Dallas County (972) 997-8000

LAURA PANOS M.S., C.G.C

Genetic Counselor, MS

3410 WORTH ST, SUITE 760
DALLAS, TX 75246

Dallas County (214) 402-2357

MRS. WHITNEY MCMULLAN WHITELEY

Nurse Practitioner (Family)

3410 WORTH ST, SUITE 250
DALLAS, TX 75246

Dallas County (214) 818-1694

DR. CHARLES LANCE COWEY M.D.

Internal Medicine (Medical Oncology)

3410 WORTH ST
DALLAS, TX 75246

Dallas County (214) 370-1000

VICTORIA LYNN WYNNE

Nurse Practitioner (Acute Care)

3410 WORTH ST
DALLAS, TX 75246

Dallas County (901) 786-2865

DR. HOUSTON ECCLESTON HOLMES III M.D.

Internal Medicine (Hematology & Oncology)

3410 WORTH ST
DALLAS, TX 75246

Dallas County (214) 370-1000

BRITTANY ANN BUCKMASTER PA-C

Physician Assistant (Surgical)

3410 WORTH ST, STE 235
DALLAS, TX 75246

Dallas County (214) 820-0434

CHELSEY BURDEN M.S.

Genetic Counselor, MS

3410 WORTH ST, SUITE 760
DALLAS, TX 75246

Dallas County (214) 818-6559

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Claude Denham's NPI number?

The NPI number for Claude Denham is 1164460002. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Claude Denham located?

Claude Denham practices at 3410 Worth St, Dallas, TX 75246. The listed phone number is (214) 370-1000.

What is Claude Denham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Claude Denham enrolled in Medicare?

Yes. Claude Denham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Claude Denham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claude Denham reassigns Medicare benefits to Texas Oncology PA (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Claude Denham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claude Denham accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 10 other insurers list Claude Denham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Claude Denham affiliated with any hospitals?

According to CMS data, Claude Denham is affiliated with Baylor University Medical Center.

When was this NPI record last updated?

The NPPES record for Claude Denham was last updated on September 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.