Individual provider Active NPI

David Brian Dellinger, DO

  • Plastic and Reconstructive Surgery Physician
  • Austin, TX
National Provider Identifier
1093785404
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
H7994 Issued in TX
Practice address
11623 Angus Rd
Suite C15
Austin, TX 78759-4003
Phone
(512) 229-1978
Fax
(512) 229-1978
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 34005727 OH
Family Medicine Physician 207Q00000X H7994 TX
Plastic and Reconstructive Surgery Physician 2086S0122X H7994 TX Primary

Addresses

Primary practice location

11623 Angus Rd
Suite C15
Austin, TX 78759-4003

Mailing address

11623 Angus Rd
Suite C15
Austin, TX 78759-4003
Phone (512) 229-1978

Other identifiers 1

IdentifierTypeStateIssuer
2022822MedicaidOH

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
I20160426002164 TX Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 9537056825 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery
Education
University of North Texas HSC, College of Osteopathic Med, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skilled Facility Health Care Solutions Inc 60 clinicians

Practice addresses (Care Compare)

11623 Angus Rd
Suite 15
Austin, TX 78759-4041
Phone (512) 229-1978

914 Brazosport N Blvd
Creekside Village
Richwood, TX 77531-3720
Phone (979) 265-4794

Hospital & facility affiliations

  • North Austin Medical Center Hospital, Austin, TX, CCN 450809

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue63
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5727OHMDOptometrist
34005727OHMDPlastic Surgery Physician
H7994TXMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elysian Plastic Surgery PLLC Plastic Surgery CurrentSince Sep 3, 2016 Accepting new patients
Ohio Valley Plastic Surgery Plastic and Reconstructive Surgery CurrentSince Dec 16, 2003 Accepting new patients
Skilled Biologics, Inc. CurrentSince Aug 4, 2024 Accepting new patients
Skilled Facility Health Care Solutions Inc CurrentSince Apr 11, 2016 Accepting new patients
Walter G. Bodjanac, DO, LLC Plastic Surgery PastSince Jan 1, 2004 Accepting new patients

Locations

3747 Foothill Blvd
#B140
La Crescenta, CA 91214
Phone 3104455999255

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

1860 State Rd
Ste A
Cuyahoga Fls, OH 44223
Phone (330) 923-0399

1700 Onion Creek Pkwy
Austin, TX 78748
Phone (512) 291-4900

11623 Angus Rd
Ste 15
Austin, TX 78759
Phone (512) 229-1978

11623 Angus Rd
Ste C15
Austin, TX 78759
Phone (512) 229-1978

2170 N Lake Forest Dr
McKinney, TX 75071
Phone (817) 268-8103

914 Brazosport Blvd N
Richwood, TX 77531
Phone (979) 230-0407

719 Sawdust Rd
Ste 204
Spring, TX 77380

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1093785404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11623 ANGUS RD",
            "address_2": "SUITE C15",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594003",
            "telephone_number": "512-229-1978",
            "fax_number": "512-402-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11623 ANGUS RD",
            "address_2": "SUITE C15",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594003",
            "telephone_number": "512-229-1978",
            "fax_number": "512-229-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLINGER",
        "first_name": "DAVID",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "34005727",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H7994",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "H7994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022822",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.