Dermatology MD PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY MD PLLC

Practice address

7500 Davis Blvd Ste 100
North Richland Hills, TX 76182-7402

Phone

(817) 893-6001

Fax

(817) 479-8668

NPI assigned

Sep 23, 2020

Last updated

Oct 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shaily Patel Kesani, MDNPI 1306012166

Title

Dermatologist/Manager

Phone

(312) 543-0510

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shaily Patel Kesani, MD

  • Dermatology Physician
  • Flower Mound, TX
  • NPI 1306012166
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1316554413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 DAVIS BLVD STE 100",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761827402",
            "telephone_number": "817-893-6001",
            "fax_number": "817-479-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 DAVIS BLVD STE 100",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761827402",
            "telephone_number": "817-893-6001",
            "fax_number": "817-479-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "KESANI",
        "authorized_official_first_name": "SHAILY",
        "authorized_official_middle_name": "PATEL",
        "authorized_official_title_or_position": "DERMATOLOGIST/MANAGER",
        "authorized_official_telephone_number": "312-543-0510",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Ann Dee, B.S. IN PHARMACY
• Deepak V Chavda MD PA (Texas Bone & Joint Center Inc)
• Melanie Ann Delafuente, CCC-SLP
• Viviana Delatorre, MS CCC-SLP
• Dental Star PLLC
• Desai Dental PC (North Richland Hills Dentistry)
• Rishabh J Desai
• Sonal Desai, DDS
• DFW Care LLC (Freedom Hospice of Texas)
• DFW Kidney Care Clinic LLC

• Dermatology Physician in North Richland Hills, TX
• Providers in North Richland Hills, 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 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.