Individual provider Active NPI

Candace Thrash, M.D.

  • Dermatology Physician
  • Austin, TX
National Provider Identifier
1093764664
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
L8216 Issued in TX
Practice address
3705 Medical Pkwy Ste 340
Austin, TX 78705-1023
Phone
(512) 454-3781
Fax
(512) 454-4058
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 036-108382 IL
Dermatology Physician 207N00000X L8216 TX Primary

Addresses

Primary practice location

3705 Medical Pkwy Ste 340
Austin, TX 78705-1023

Mailing address

3705 Medical Pkwy Ste 340
Austin, TX 78705-1023
Phone (512) 454-3781

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
I20090129000548 TX Practitioner - Dermatology 5991604027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical School at San Antonio, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanova Dermatology PLLCGroup PAC ID 8527235340, 15 clinicians

Practice addresses (Care Compare)

3944 Ranch Rd 620 S BLDG 6
201 Sanova Dermatology Bee Cave
Bee Cave, TX 78738
Phone (512) 366-8568

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision16
Removal of skin lesions701
Removal or shaving of skin growth1-10
Skin biopsy222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-108382ILMDDermatology Physician
L8216TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanova Dermatology PLLC Dermatology CurrentSince Aug 1, 2021 Accepting new patients
Lakeway Medical Clinic, LLC PastSince Jan 27, 2025 Accepting new patients
Innovative Dermatology Dermatology PastSince Sep 1, 2006 Accepting new patients

Locations

12319 N Mopac Expy
Ste 100
Austin, TX 78758
Phone (512) 837-3376

3705 Medical Pkwy
Ste 340
Austin, TX 78705
Phone (512) 454-3781

3944 S FM 620 Rd
Ste 201
Bee Cave, TX 78738
Phone (512) 366-8568

1601 E Pflugerville Pkwy
Ste 1102
Pflugerville, TX 78660
Phone (512) 252-3700

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00163
  • Direct secure messaging: cthrash@sanovaderm.emadirect.md

Organizations & group practices 3

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1093764664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 340",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051023",
            "telephone_number": "512-454-3781",
            "fax_number": "512-454-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 340",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051023",
            "telephone_number": "512-454-3781",
            "fax_number": "512-454-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRASH",
        "first_name": "CANDACE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036-108382",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "L8216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.