Individual provider Active NPI

Alexander L Berlin, MD

  • Dermatology Physician
  • Arlington, TX
National Provider Identifier
1053499301
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
N3492 Issued in TX
Practice address
1115 W Randol Mill Rd Ste 200
Arlington, TX 76012-2577
Phone
(817) 303-6647
Fax
(817) 303-6651
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X N3492 TX
MOHS-Micrographic Surgery Physician 207ND0101X N3492 TX
Dermatology Physician 207N00000X N3492 TX Primary

Addresses

Primary practice location

1115 W Randol Mill Rd Ste 200
Arlington, TX 76012-2577

Mailing address

1115 W Randol Mill Rd Ste 200
Arlington, TX 76012-2577
Phone (817) 303-6647

Other practice location 1

2485 E Southlake Blvd Ste 200
Southlake, TX 76092-6687
Phone (817) 303-6647

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aberlin@dfwskinsurgery.dsm.phimailbox.com Direct

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
I20091110000800 TX Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 2567463110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
McGill University, Faculty of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1115 W Randol Mill Rd
Suite 200
Arlington, TX 76012-2577
Phone (817) 303-6647

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision30
Removal of tissue1-10
Removal of skin lesions144
Removal of skin cancer827
Skin biopsy125

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DFW Skin Surgery Center, PLLC Dermatology CurrentSince Dec 19, 2011 Accepting new patients
Dermatology Specialists LLC Dermatology PastSince Jul 1, 2015 Accepting new patients
Edward E. Rotan, Jr., MD, P.a. Dermatology Past Accepting new patients
Dermatology Group of SL PA Dermatology Past Accepting new patients

Locations

1115 W Randol Mill Rd
Ste 200
Arlington, TX 76012
Phone (817) 303-6647

2485 E Southlake Blvd
Ste 200
Southlake, TX 76092
Phone (817) 303-6647

Interoperability endpoints

  • Direct secure messaging: aberlin457965@direct.sw.org
  • Direct secure messaging: aberlin@dfwskinsurgery.dsm.phimailbox.com

Organizations & group practices 4

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1053499301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 W RANDOL MILL RD STE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122577",
            "telephone_number": "817-303-6647",
            "fax_number": "817-303-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 W RANDOL MILL RD STE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122577",
            "telephone_number": "817-303-6647",
            "fax_number": "817-303-6651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2485 E Southlake Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760926687",
            "country_code": "US",
            "telephone_number": "817-303-6647",
            "fax_number": "817-303-6651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERLIN",
        "first_name": "ALEXANDER",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TX",
            "license": "N3492",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "N3492",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "N3492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aberlin@dfwskinsurgery.dsm.phimailbox.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF, JPG, CSV files",
            "address_1": "1115 W Randol Mill Rd Ste 200",
            "city": "Arlington",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760122577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.