Active NPI
David Brian Dellinger, DO
- Plastic and Reconstructive Surgery Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- H7994
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2022822 | Medicaid | OH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160426002164 | TX | Practitioner - Plastic and Reconstructive Surgery | 9537056825 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive 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
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 63 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5727 | OH | MD | Optometrist |
| 34005727 | OH | MD | Plastic Surgery Physician |
| H7994 | TX | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elysian Plastic Surgery PLLC | Plastic Surgery | Current | Accepting new patients |
| Ohio Valley Plastic Surgery | Plastic and Reconstructive Surgery | Current | Accepting new patients |
| Skilled Biologics, Inc. | Current | Accepting new patients | |
| Skilled Facility Health Care Solutions Inc | Current | Accepting new patients | |
| Walter G. Bodjanac, DO, LLC | Plastic Surgery | Past | 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.
-
- Plastic Surgery Physician
- Austin, TX
- NPI 1285095083
Plastic Surgery, TX
-
- Plastic and Reconstructive Surgery Physician
- Hudson, OH
- NPI 1558484386
Plastic and Reconstructive Surgery
-
- Surgery Physician
- Los Angeles, CA
- NPI 1922231828
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austin, TX
- NPI 1629021845
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.