Individual provider Active NPI

Ronald M Harris, M.D.

  • Dermatopathology Physician
  • Austin, TX
National Provider Identifier
1215033501
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
3184291205 Issued in UT
Practice address
2319 N Mopac Expy
Ste 100
Austin, TX 78758-2486
Phone
(512) 837-3376
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 3184291205 UT Primary
Dermatology Physician 207N00000X 3184291205 UT
Procedural Dermatology Physician 207NS0135X 3184291205 UT

Addresses

Primary practice location

2319 N Mopac Expy
Ste 100
Austin, TX 78758-2486

Mailing address

PO Box 4716-355
Houston, TX 44210-4716
Phone (512) 837-1984

Other identifiers 5

IdentifierTypeStateIssuer
723503MedicaidAZ
0048438MedicaidMT
002085554MedicaidNV
870468377001MedicaidUT
004136100MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100818000345 CA Practitioner - DermatologyPractitioner - Pathology 4284681107 Reassigns benefits to 1 organization
I20130614000061 AZ Practitioner - Dermatology 4284681107 Reassigns benefits to 2 organizations
I20241108000099 TX Practitioner - Dermatology 4284681107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
University of California, San Francisco School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uci Department of DermatologyGroup PAC ID 7113920992, 38 clinicians
Sanova Dermatology PLLCGroup PAC ID 8527235340, 15 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004

12319 N Mopac Expressway
Suite 100
Austin, TX 78758-2403
Phone (512) 837-3376

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
79.17 of 100Reported as group
Quality
64.43
Promoting interoperability
84
Improvement activities
40
Cost
79.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions230
Skin biopsy90

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3184291205UTMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sheftel & Associates Dermatology, LLP CurrentSince Mar 1, 2023 Accepting new patients
Dermatology Division University of Utah Medical Center Dermatology CurrentSince Dec 18, 2022 Accepting new patients
Sanova Dermatology PLLC Dermatology CurrentSince Sep 25, 2024 Accepting new patients
U-U Pediatric Dermatology PastSince May 24, 2020 Accepting new patients
University of California Irvine Past Accepting new patients

Locations

1595 E River Rd
Ste 201
Tucson, AZ 85718
Phone 52029357577143

12319 N Mopac Expy
Ste 100
Austin, TX 78758
Phone (512) 837-3376

1601 E Pflugerville Pkwy
Ste 1102
Pflugerville, TX 78660
Phone (512) 252-3700

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

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.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1215033501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4716-355",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "442104716",
            "telephone_number": "512-837-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 N MOPAC EXPY",
            "address_2": "STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582486",
            "telephone_number": "512-837-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "RONALD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "UT",
            "license": "3184291205",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "3184291205",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "UT",
            "license": "3184291205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "723503",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0048438",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002085554",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870468377001",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004136100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.