Individual provider Active NPI

Ryan T Rogers, MD

  • MOHS-Micrographic Surgery Physician
  • Corpus Christi, TX
National Provider Identifier
1396065470
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
Q6096 Issued in TX
Practice address
14650 Compass St Ste 1
Corpus Christi, TX 78418-6237
Phone
(361) 867-1032
Fax
(361) 867-1018
NPI assigned
Jun 10, 2010
Last updated
Feb 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Q6096 TX
Dermatology Physician 207N00000X 85301 SC
MOHS-Micrographic Surgery Physician 207ND0101X 71625 GA
MOHS-Micrographic Surgery Physician 207ND0101X Q6096 TX Primary

Addresses

Primary practice location

14650 Compass St Ste 1
Corpus Christi, TX 78418-6237

Mailing address

4444 Corona Dr
Corpus Christi, TX 78411-4324
Phone (361) 985-1221

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
I20160111002344 TX Practitioner - Dermatology 8527376771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical School at San Antonio, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14650 Compass St
Suite 1
Corpus Christi, TX 78418-6237
Phone (361) 867-1032

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision101
Removal of tissue77
Removal of skin lesions1005
Removal of skin cancer432
Removal or shaving of skin growth357
Skin biopsy622

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q6096TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Padre Dermatology PLLC Dermatology CurrentSince Dec 1, 2015 Accepting new patients
Georgia Dermatology &Skin Cancer Center, PC Dermatology Past Accepting new patients

Locations

14650 Compass St
Ste 1
Corpus Christi, TX 78418
Phone (361) 867-1032

5920 Saratoga Blvd
Ste 540
Corpus Christi, TX 78414
Phone (361) 883-6030

Organizations & group practices 2

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": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1396065470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 CORONA DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114324",
            "telephone_number": "361-985-1221",
            "fax_number": "361-992-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14650 COMPASS ST STE 1",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784186237",
            "telephone_number": "361-867-1032",
            "fax_number": "361-867-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "RYAN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-10",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "Q6096",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "85301",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "GA",
            "license": "71625",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "Q6096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.