Individual provider Active NPI

Michael Patrick Dunnigan, DO

  • Dermatology Physician
  • Greenville, TX
National Provider Identifier
1013195908
Registry record updated Aug 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
J6933 Issued in TX
Practice address
8506 Wesley St
Greenville, TX 75402-3812
Phone
(903) 454-1824
Fax
(903) 454-6044
NPI assigned
Feb 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X J6933 TX Primary

Addresses

Primary practice location

8506 Wesley St
Greenville, TX 75402-3812

Mailing address

8506 Wesley St
Greenville, TX 75402-3812
Phone (903) 454-1824

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040612000533 TX Practitioner - Dermatology 9133102791 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Midwestern University, Chicago College of Osteopathic Med, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology PAGroup PAC ID 3971827791, 106 clinicians

Practice addresses (Care Compare)

2504 Ridge Rd
Suite 102
Rockwall, TX 75087-2570
Phone (214) 771-3100

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as group
Quality
76.91
Promoting interoperability
91
Improvement activities
40
Cost
77.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions485
Removal or shaving of skin growth1-10
Skin biopsy47

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology PA Dermatology CurrentSince Jun 1, 2023 Accepting new patients
Oliver Street 5.01(a) Inc. Dermatology CurrentSince Jan 1, 2017 Accepting new patients

Locations

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

8506 Wesley St
Greenville, TX 75402
Phone (903) 454-1824

2504 Ridge Rd
Ste 102
Rockwall, TX 75087
Phone (972) 771-1794

1367 Dominion Plz
Tyler, TX 75703
Phone (903) 534-6200

Networks

  • NM HMO C-SNP
  • TX HMO D-SNP
  • TX HMO

Interoperability endpoints

  • Direct secure messaging: michael.dunnigan@epiphanyderm.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501804800000",
    "number": "1013195908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8506 WESLEY ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754023812",
            "telephone_number": "903-454-1824",
            "fax_number": "903-454-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8506 WESLEY ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754023812",
            "telephone_number": "903-454-1824",
            "fax_number": "903-454-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNNIGAN",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-04",
        "last_updated": "2017-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "J6933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.