Individual provider Active NPI

Paul T Martinelli, M.D.

  • MOHS-Micrographic Surgery Physician
  • Plano, TX
National Provider Identifier
1194813543
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
L8826 Issued in TX
Practice address
3585 National Dr Ste 150
Plano, TX 75025-0138
Phone
(469) 467-6647
Fax
(469) 467-6648
NPI assigned
Oct 11, 2006
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X L8826 TX Primary

Addresses

Primary practice location

3585 National Dr Ste 150
Plano, TX 75025-0138

Mailing address

3585 National Dr Ste 150
Plano, TX 75025-0138
Phone (469) 467-6647

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
I20050624000920 TX Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 8729023247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
University of Texas Medical School at Houston, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Skin Surgery Center, P.a.Group PAC ID 7012040934, 2 clinicians

Practice addresses (Care Compare)

3585 National Dr
Suite 150
Plano, TX 75025-0140
Phone (469) 467-6647

4716 Alliance Blvd
Suite 150
Plano, TX 75093-5372
Phone (469) 467-6647

Merit-based Incentive Payment System (MIPS)

Final score
41.01 of 100Reported as individual
Quality
60
Improvement activities
0
Cost
56.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision114
Removal of skin lesions1-10
Removal of skin cancer703
Skin biopsy27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L8826TXMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Skin Surgery Center, P.a. CurrentSince Jun 2, 2010 Accepting new patients

Locations

3585 National Dr
Ste 150
Plano, TX 75025
Phone (469) 467-6647

4716 Alliance Blvd
Ste 150
Plano, TX 75093
Phone (214) 564-0947

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00412
  • FHIR API: https://fhir4.healow.com/fhir/r4/AEHABA
  • FHIR API: https://fhir4.healow.com/fhir/r4/AEHABA/Endpoint/AEHABA
  • Direct secure messaging: paul.martinelli@tsscp.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1194813543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 NATIONAL DR STE 150",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750250138",
            "telephone_number": "469-467-6647",
            "fax_number": "469-467-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 NATIONAL DR STE 150",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750250138",
            "telephone_number": "469-467-6647",
            "fax_number": "469-467-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINELLI",
        "first_name": "PAUL",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "L8826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.