Individual provider Active NPI

Meagan Olivia Harris, M.D.

  • Dermatology Physician
  • San Antonio, TX
National Provider Identifier
1497103527
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
S6633 Issued in TX
Practice address
2520 Broadway St Ste 202
San Antonio, TX 78215-1149
Phone
(210) 541-4884
Fax
(210) 541-4900
NPI assigned
May 31, 2016
Last updated
Jul 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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 S6633 TX Primary

Addresses

Primary practice location

2520 Broadway St Ste 202
San Antonio, TX 78215-1149

Mailing address

2520 Broadway St Ste 202
San Antonio, TX 78215-1149
Phone (210) 541-4884

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
I20200709000666 TX Practitioner - Dermatology 1850673161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in Shreveport, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Specialists of San Antonio, PLLCGroup PAC ID 5193043149, 10 clinicians

Practice addresses (Care Compare)

2520 Broadway St
Suite 202
San Antonio, TX 78215-1149
Phone (210) 541-4884

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.46 of 100Reported as group
Quality
90.39
Promoting interoperability
100
Improvement activities
40
Cost
87.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision49
Removal of tissue1-10
Removal of skin lesions1294
Skin biopsy603

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S6633TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Specialists of San Antonio, PLLC Dermatology CurrentSince Aug 24, 2020 Accepting new patients

Locations

2520 Broadway St
Ste 202
San Antonio, TX 78215
Phone (210) 541-4884

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1497103527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 BROADWAY ST STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151149",
            "telephone_number": "210-541-4884",
            "fax_number": "210-541-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 BROADWAY ST STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151149",
            "telephone_number": "210-541-4884",
            "fax_number": "210-541-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MEAGAN",
        "middle_name": "OLIVIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "S6633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.