Individual provider Active NPI

Erez Abraham Minka, D.O.

  • MOHS-Micrographic Surgery Physician
  • Wichita Falls, TX
National Provider Identifier
1679993265
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
R5012 Issued in TX
Practice address
4327 Barnett Rd
Wichita Falls, TX 76310-2303
Phone
(940) 687-3376
NPI assigned
Apr 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X R5012 TX
Procedural Dermatology Physician 207NS0135X R5012 TX
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X R5012 TX
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X R5012 TX
Orthopaedic Surgery Physician 207X00000X OT015734 PA
MOHS-Micrographic Surgery Physician 207ND0101X R5012 TX Primary

Addresses

Primary practice location

4327 Barnett Rd
Wichita Falls, TX 76310-2303

Mailing address

4327 Barnett Rd
Wichita Falls, TX 76310-2303
Phone (940) 687-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210616000913 GA Practitioner - Dermatology 8022417302 Reassigns benefits to 1 organization
I20230504000973 TX Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 8022417302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Lake Erie Col of Osteopathic Medicine, Bradenton, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Define Dermatology PLLCGroup PAC ID 4486019072, 2 clinicians

Practice addresses (Care Compare)

4327 Barnett Rd
Wichita Falls, TX 76310-2303
Phone (940) 687-3376

Hospital & facility affiliations

  • United Regional Health Care System Hospital, Wichita Falls, TX, CCN 450010

Merit-based Incentive Payment System (MIPS)

Final score
21.44 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.48

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision278
Removal of skin lesions1530
Removal of skin cancer1649
Removal or shaving of skin growth86
Skin biopsy894

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT015734PAMDOrthopaedic Surgery Physician
R5012TXMDPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Specialists of W Ga Dermatology CurrentSince Aug 1, 2021 Accepting new patients
Define Dermatology PLLC Dermatology CurrentSince Apr 24, 2023 Accepting new patients

Locations

109 Professional Pl
Carrollton, GA 30117
Phone (770) 834-0170

4 Burnside
Ste 100
Wichita Falls, TX 76310
Phone (940) 234-3000

4327 Barnett Rd
Wichita Falls, TX 76310
Phone (940) 761-2922

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 and National Provider Directory roles.

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": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1679993265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4327 BARNETT RD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763102303",
            "telephone_number": "940-687-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4327 BARNETT RD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763102303",
            "telephone_number": "940-687-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINKA",
        "first_name": "EREZ",
        "middle_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-22",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "R5012",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TX",
            "license": "R5012",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "R5012",
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "TX",
            "license": "R5012",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OT015734",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "R5012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.