Adam Joseph Mamelak, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

M6272 Issued in TX

Practice address

12319 N Mopac Expy
BLDG. C, Ste. 100
Austin, TX 78758-2403

Phone

(512) 837-3376

Fax

(512) 837-3377

NPI assigned

Feb 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Westlake Dermatology PAGroup PAC ID 6305817230, 52 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amamelak@westlake.emadirect.md

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.

• Westlake Dermatology PA

  • Dermatology Physician
  • Austin, TX
  • NPI 1518939347
  Medicare reassignment Care Compare group NPD
• Westlake Dermatology, PA

  • Dermatology Physician
  • Alamo Heights, TX
  • NPI 1265086045
  NPD
• Westlake Dermatology PA

  • Dermatology Physician
  • Round Rock, TX
  • NPI 1477678993
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1174663835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12319 N MOPAC EXPY",
            "address_2": "BLDG. C, STE. 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582403",
            "telephone_number": "512-837-3376",
            "fax_number": "512-837-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12319 N MOPAC EXPY",
            "address_2": "BLDG. C, STE. 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582403",
            "telephone_number": "512-837-3376",
            "fax_number": "512-837-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMELAK",
        "first_name": "ADAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "M6272",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "M6272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lynn Maltsberger, MSN, APRN, NNP-BC
• Ashley Maltz, MD, MPH
• Sofia Malvaez
• Neha Mambapoor, M.ED, LPC
• Viswajyothi Mambapoor, MD
• Nicholas George Mamey
• Camille Gonzalez Mami, PH.D.
• Shanya Manadier
• Munsa Manandhar
• Daniel Manas, PT, DPT, OCS, CSCS

• Dermatology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.

Verify at the official NPI Registry.