Individual provider Active NPI

Kara Pretzlaff, M.D.

  • Dermatology Physician
  • Richardson, TX
National Provider Identifier
1760878029
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
T1525 Issued in TX
Practice address
3005 E Renner Rd
Richardson, TX 75082-3573
Phone
(972) 699-0000
NPI assigned
Apr 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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 18488 NV
Dermatology Physician 207N00000X T1525 TX Primary

Addresses

Primary practice location

3005 E Renner Rd
Richardson, TX 75082-3573

Mailing address

3005 E Renner Rd
Richardson, TX 75082-3573
Phone (972) 699-0000

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
I20211118001892 TX Practitioner - Dermatology 2769715721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Specialists, PAGroup PAC ID 8527011857, 5 clinicians

Practice addresses (Care Compare)

3005 E Renner Rd
Suite 100
Richardson, TX 75082-3570
Phone 97269900003684

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision15
Removal of skin lesions479
Removal or shaving of skin growth1-10
Skin biopsy191

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Specialists, PA Dermatology CurrentSince Sep 20, 2021 Accepting new patients

Locations

3005 E Renner Rd
Richardson, TX 75082
Phone (972) 699-0000

3005 E Renner Rd
Ste 100
Richardson, TX 75082
Phone (972) 699-0000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJJJAA
  • Direct secure messaging: karap@dermspecialiststx.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": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1760878029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 E RENNER RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823573",
            "telephone_number": "972-699-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 E RENNER RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823573",
            "telephone_number": "972-699-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRETZLAFF",
        "first_name": "KARA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-13",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NV",
            "license": "18488",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "T1525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.