Individual provider Active NPI

Elizabeth Wilder, M.D.

  • MOHS-Micrographic Surgery Physician
  • Dallas, TX
National Provider Identifier
1780027052
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
R2789 Issued in TX
Practice address
411 N Washington Ave Ste 1200
Dallas, TX 75246-1744
Phone
(214) 396-5227
Fax
(214) 396-5445
NPI assigned
Apr 16, 2013
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 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 R2789 TX
MOHS-Micrographic Surgery Physician 207ND0101X R2789 TX Primary

Addresses

Primary practice location

411 N Washington Ave Ste 1200
Dallas, TX 75246-1744

Mailing address

411 N Washington Ave Ste 1200
Dallas, TX 75246-1744
Phone (214) 396-5227

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
I20170531001527 TX Practitioner - Dermatology 9436426129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical School at San Antonio, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Mohs Surgery and Skin Cancer Center, PLLCGroup PAC ID 9739404724, 2 clinicians

Practice addresses (Care Compare)

411 N Washington Ave
Suite 1200
Dallas, TX 75246-1744
Phone (214) 396-5227

Merit-based Incentive Payment System (MIPS)

Final score
88.73 of 100Reported as group
Quality
78.09
Improvement activities
40
Cost
91.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision43
Removal of skin lesions459
Removal of skin cancer192
Removal of nail tissue1-10
Skin biopsy246

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Mohs Surgery and Skin Cancer Center, PLLC Mohs-Micrographic Surgery CurrentSince Jul 1, 2017 Accepting new patients
Clarity Dermatology PLLC Dermatology PastSince Sep 30, 2021 Accepting new patients

Locations

411 N Washington Ave
Ste 1200
Dallas, TX 75246
Phone (214) 396-5227

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, 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": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1780027052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N WASHINGTON AVE STE 1200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461744",
            "telephone_number": "214-396-5227",
            "fax_number": "214-396-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N WASHINGTON AVE STE 1200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461744",
            "telephone_number": "214-396-5227",
            "fax_number": "214-396-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "R2789",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "R2789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.