Individual provider Active NPI

Stacy Yuan Kasitinon, MD, PHD

  • Dermatology Physician
  • Dallas, TX
National Provider Identifier
1467030023
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
V3341 Issued in TX
Practice address
9301 N Central Expy Ste 470
Dallas, TX 75231-0803
Phone
(214) 506-1115
NPI assigned
Apr 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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 V3341 TX Primary

Addresses

Primary practice location

9301 N Central Expy Ste 470
Dallas, TX 75231-0803

Mailing address

9301 N Central Expy Ste 470
Dallas, TX 75231-0803
Phone (214) 506-1115

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
I20240930001561 TX Practitioner - Dermatology 0749711992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin and Reddick Dermatology PLLCGroup PAC ID 8921331919, 5 clinicians

Practice addresses (Care Compare)

9301 N Central Expy
Suite 470
Dallas, TX 75231-0803
Phone (214) 506-1115

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions76
Removal of nail tissue1-10
Skin biopsy40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Austin & Reddick Dermatology, PLLC Dermatology CurrentSince Oct 1, 2024 Accepting new patients

Locations

9301 N Central Expy
Ste 470
Dallas, TX 75231
Phone (214) 506-1115

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00023

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": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1467030023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY STE 470",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310803",
            "telephone_number": "214-506-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY STE 470",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310803",
            "telephone_number": "214-506-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASITINON",
        "first_name": "STACY",
        "middle_name": "YUAN",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "V3341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.