Individual provider Active NPI

Melissa Anne Rubenstein, MD

  • Dermatology Physician
  • Addison, TX
National Provider Identifier
1164587671
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
M5473 Issued in TX
Practice address
17051 Dallas Pkwy Ste 350
Addison, TX 75001-7107
Phone
(214) 702-0029
Fax
(214) 382-3453
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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 M5473 TX Primary

Addresses

Primary practice location

17051 Dallas Pkwy Ste 350
Addison, TX 75001-7107

Mailing address

17051 Dallas Pkwy Ste 350
Addison, TX 75001-7107

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
I20090414000384 TX Practitioner - Dermatology 0042367849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Baylor College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas Dermatology Partners, PLLCGroup PAC ID 8022449446, 6 clinicians

Practice addresses (Care Compare)

17051 Dallas Pkwy
Suite 350
Addison, TX 75001-7107
Phone (214) 702-0029

8144 Walnut Hill LN
Suite 450
Dallas, TX 75231-0906

Merit-based Incentive Payment System (MIPS)

Final score
94.78 of 100Reported as group
Quality
97.06
Promoting interoperability
88
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision42
Removal of skin lesions1064
Skin biopsy493

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M5473TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Dermatology Partners, PLLC Dermatology CurrentSince Jul 1, 2020 Accepting new patients
Dallas Neurosurgical Associates, P.a. PastSince Oct 19, 2020 Accepting new patients

Locations

17051 Dallas Pkwy
Ste 350
Addison, TX 75001
Phone (214) 702-0029

8144 Walnut Hill Ln
Ste 450
Dallas, TX 75231
Phone (214) 346-0602

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1164587671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17051 DALLAS PKWY STE 350",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750017107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17051 DALLAS PKWY STE 350",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750017107",
            "telephone_number": "214-702-0029",
            "fax_number": "214-382-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBENSTEIN",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "M5473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

Verify at the official NPI Registry.