Individual provider Active NPI

Lori D Stetler, M.D.

  • Dermatology Physician
  • Dallas, TX
National Provider Identifier
1235137357
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
H8436 Issued in TX
Practice address
8201 Preston Rd
Ste 350
Dallas, TX 75225-6203
Phone
(214) 631-7546
Fax
(214) 631-8546
NPI assigned
Jul 12, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 H8436 TX Primary

Addresses

Primary practice location

8201 Preston Rd
Ste 350
Dallas, TX 75225-6203

Mailing address

8201 Preston Rd
Ste 350
Dallas, TX 75225-6203
Phone (214) 631-7546

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
I20081009000776 TX Practitioner - Dermatology 5799853222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Southwestern Medical School at Dallas, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas Center for Dermatology and Aesthetics PLLCGroup PAC ID 8325344385, 3 clinicians

Practice addresses (Care Compare)

8201 Preston Rd
Suite 350
Dallas, TX 75225-6225
Phone (214) 631-7546

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions596
Removal or shaving of skin growth1-10
Skin biopsy168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H8436TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Center for Dermatology and Aesthetics PLLC Dermatology CurrentSince Feb 1, 2016 Accepting new patients

Locations

8201 Preston Rd
Ste 350
Dallas, TX 75225
Phone (214) 631-7546

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235137357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 PRESTON RD",
            "address_2": "STE 350",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256203",
            "telephone_number": "214-631-7546",
            "fax_number": "214-631-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 PRESTON RD",
            "address_2": "STE 350",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256203",
            "telephone_number": "214-631-7546",
            "fax_number": "214-631-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STETLER",
        "first_name": "LORI",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "H8436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.