Individual provider Active NPI

Susanne Lockhart, MD

  • Dermatology Physician
  • Prosper, TX
National Provider Identifier
1497857585
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
K3609 Issued in TX
Practice address
1030 S Coit Rd
Prosper, TX 75078-2950
Phone
(469) 769-3376
Fax
(469) 389-3376
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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 K3609 TX Primary

Addresses

Primary practice location

1030 S Coit Rd
Prosper, TX 75078-2950

Mailing address

1030 S Coit Rd
Prosper, TX 75078-2950
Phone (469) 769-3376

Other practice location 1

5805 Coit Rd Ste 203
Plano, TX 75093-6990
Phone (469) 769-3376

Other names 1

  • Susanne Lockhart Anding Other name

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
I20040802000151 TX Practitioner - Dermatology 2769453174 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical Branch at Galveston, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Lockhart Matter Dermatology PLLCGroup PAC ID 6709275878, 5 clinicians

Practice addresses (Care Compare)

1030 S Coit Rd
Prosper, TX 75078-2950
Phone 4697693376500

Merit-based Incentive Payment System (MIPS)

Final score
99.7 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of skin lesions1102
Skin biopsy226

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lockhart Matter Mohs & Surgery Center Dermatology CurrentSince Dec 4, 2024 Accepting new patients
Lockhart Matter Dermatology PLLC Dermatology CurrentSince Feb 11, 2022 Accepting new patients
Susanne Lockhart, MD PA PastSince Jan 1, 1990 Accepting new patients

Locations

5805 Coit Rd
Ste 202
Plano, TX 75093
Phone (469) 769-3376

5805 Coit Rd
Plano, TX 75093
Phone (972) 754-8205

5805 Coit Rd
Ste 203
Plano, TX 75093
Phone (469) 769-3376

1030 S Coit Rd
Prosper, TX 75078
Phone (469) 769-3376

Interoperability endpoints

  • Direct secure messaging: kkucera@lockhartmatterderm.emadirect.md
  • Direct secure messaging: slockhart@lockhartmatterderm.emadirect.md

Organizations & group practices 3

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1497857585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 S COIT RD",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782950",
            "telephone_number": "469-769-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S COIT RD",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782950",
            "telephone_number": "469-769-3376",
            "fax_number": "469-389-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5805 Coit Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750936990",
            "country_code": "US",
            "telephone_number": "469-769-3376",
            "fax_number": "469-869-3376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCKHART",
        "first_name": "SUSANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "K3609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSANNE",
            "last_name": "ANDING",
            "middle_name": "LOCKHART",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Prosper, TX

Sources for this page

Verify at the official NPI Registry.