Individual provider Active NPI

Michael Sorace, M.D.

  • MOHS-Micrographic Surgery Physician
  • Boerne, TX
National Provider Identifier
1265614168
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
N3322 Issued in TX
Practice address
745 W San Antonio Ave
Suite 100
Boerne, TX 78006-3213
Phone
(210) 236-9372
Fax
(210) 251-3237
NPI assigned
Dec 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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 N3322 TX Primary

Addresses

Primary practice location

745 W San Antonio Ave
Suite 100
Boerne, TX 78006-3213

Mailing address

745 W San Antonio Ave
Suite 100
Boerne, TX 78006-3213
Phone (210) 236-9372

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
I20100727000633 TX Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 9335272400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
State University of New York Downstate Medical Center, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

745 W San Antonio Ave
Suite 100
Boerne, TX 78006-3213
Phone (830) 331-9900

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal56
Melanoma (skin cancer) excision362
Removal of skin lesions31
Removal of skin cancer2305
Removal of nail tissue1-10
Skin biopsy36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
288165NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Michael a. Sorace, MD Mohs Micrographic & Skin Surgery, PLLC Mohs-Micrographic Surgery CurrentSince Aug 1, 2011 Accepting new patients
Gotham Eye Medical, P.C. CurrentSince Dec 1, 2017 Accepting new patients
Michael a. Sorace MD PA Mohs-Micrographic Surgery Past Accepting new patients
Yang Xia MD PLLC Mohs-Micrographic Surgery Past Accepting new patients

Locations

329 E 149th St
Fl 2
Bronx, NY 10451
Phone (718) 585-5500

14732 Jamaica Ave
Lowr
Jamaica, NY 11435
Phone (718) 206-2002

745 W San Antonio Ave
#100
Boerne, TX 78006
Phone (830) 331-4150

457 Landa St
Ste E
New Braunfels, TX 78130

7950 Floyd Curl Dr
Ste 505
San Antonio, TX 78229
Phone (210) 616-0739

14530 NW Military Hwy
Ste 100
Shavano Park, TX 78231

Organizations & group practices 4

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": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1265614168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 W SAN ANTONIO AVE",
            "address_2": "SUITE 100",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063213",
            "telephone_number": "210-236-9372",
            "fax_number": "210-251-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 W SAN ANTONIO AVE",
            "address_2": "SUITE 100",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063213",
            "telephone_number": "210-236-9372",
            "fax_number": "210-251-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORACE",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-03",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "N3322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.