Individual provider Active NPI

Ross Charles Radusky, M.D.

  • Dermatology Physician
  • Dallas, TX
National Provider Identifier
1508209206
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
S8898 Issued in TX
Practice address
5310 Harvest Hill Rd Ste 160
Dallas, TX 75230-5808
Phone
(972) 661-2729
NPI assigned
Apr 11, 2013
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X S8898 TX Primary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 287864 NY

Addresses

Primary practice location

5310 Harvest Hill Rd Ste 160
Dallas, TX 75230-5808

Mailing address

5310 Harvest Hill Rd Ste 160
Dallas, TX 75230-5808
Phone (972) 661-2729

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
I20210825003533 TX Practitioner - Dermatology 1153687231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Treatment and Research Center, PAGroup PAC ID 5698871929, 2 clinicians

Practice addresses (Care Compare)

5310 Harvest Hill Rd
Suite 160
Dallas, TX 75230-5808
Phone (972) 661-2729

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions419
Removal or shaving of skin growth1-10
Skin biopsy108

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Treatment & Research Center, PA Single Specialty CurrentSince Oct 1, 2021 Accepting new patients

Locations

5310 Harvest Hill Rd
Ste 138
Dallas, TX 75230
Phone (972) 661-2729

5310 Harvest Hill Rd
Ste 160
Dallas, TX 75230
Phone (972) 661-2729

Interoperability endpoints

  • Direct secure messaging: rradusky@dcm-tx.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1508209206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 HARVEST HILL RD STE 160",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752305808",
            "telephone_number": "972-661-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 HARVEST HILL RD STE 160",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752305808",
            "telephone_number": "972-661-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADUSKY",
        "first_name": "ROSS",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-11",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "S8898",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "287864",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.