Individual provider Active NPI

Michael Joseph Kelly-Sell, MD

  • MOHS-Micrographic Surgery Physician
  • Plano, TX
National Provider Identifier
1790042620
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
R9509 Issued in TX
Practice address
5060 Tennyson Pkwy Ste 200
Plano, TX 75024-4170
Phone
(214) 556-5695
Fax
(469) 609-2962
NPI assigned
Apr 17, 2012
Last updated
Aug 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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 R9509 TX
MOHS-Micrographic Surgery Physician 207ND0101X R9509 TX Primary

Addresses

Primary practice location

5060 Tennyson Pkwy Ste 200
Plano, TX 75024-4170

Mailing address

9900 N Central Expy Ste 500
Dallas, TX 75231-0928
Phone (214) 987-3376

Other practice location 1

12222 Coit Rd Ste 102
Dallas, TX 75251-2302
Phone (972) 726-6647

Other practice location 2

7000 Preston Rd Ste 500
Plano, TX 75024-2573
Phone (214) 987-3376

Other practice location 3

7445 Las Colinas Blvd
Irving, TX 75063-7561
Phone (972) 317-3376

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
I20190213000991 TX Practitioner - Dermatology 2062729916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Perelman School of Med at the University of Pennsylvania, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PDP of Texas, PLLCGroup PAC ID 2466455050, 61 clinicians

Practice addresses (Care Compare)

12222 Coit Rd
Suite 102
Dallas, TX 75251-2302
Phone (972) 726-6647

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as individual
Promoting interoperability
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision113
Removal of skin lesions1-10
Removal of skin cancer946
Removal of nail tissue1-10
Skin biopsy27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
PDP of Texas, PLLC Dermatology CurrentSince Jan 2, 2019 Accepting new patients
Michigan Center for Dermatology & Pathology, PLLC PastSince Jul 1, 2017 Accepting new patients
Facial and Skin Surgery Center PA PastSince Jul 7, 2024 Accepting new patients

Locations

10703 Preston Rd
Dallas, TX 75230

10711 Preston Rd
Ste 100
Dallas, TX 75230

12222 Coit Rd
Ste 102
Dallas, TX 75251
Phone (469) 899-6723

12700 Park Central Dr
Ste 1210
Dallas, TX 75251
Phone (702) 360-2763

411 N Washington Ave
Ste 4000
Dallas, TX 75246
Phone (214) 820-2521

9900 N Central Expy
Ste 500
Dallas, TX 75231
Phone (214) 692-1900

4685 Eldorado Pkwy
Ste 100
Frisco, TX 75033
Phone (972) 335-2727

6750 N MacArthur Blvd
Ste 260
Irving, TX 75039
Phone (214) 692-6566

7445 Las Colinas Blvd
Irving, TX 75063
Phone (877) 504-9759

21800 Katy Fwy
Ste 200
Katy, TX 77449
Phone (713) 771-1100

7300 Eldorado Pkwy
Ste 100
McKinney, TX 75070

5060 Tennyson Pkwy
Ste 100
Plano, TX 75024
Phone (972) 505-2551

5060 Tennyson Pkwy
Ste 200
Plano, TX 75024
Phone (214) 556-5695

7000 Preston Rd
Ste 500
Plano, TX 75024

431 E State Highway 114
Ste 300
Southlake, TX 76092
Phone (817) 251-6500

Interoperability endpoints

  • Direct secure messaging: michael.kellysell@pdptx.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, 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": "1334620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1790042620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 N CENTRAL EXPY STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310928",
            "telephone_number": "214-987-3376",
            "fax_number": "469-532-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 TENNYSON PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244170",
            "telephone_number": "214-556-5695",
            "fax_number": "469-609-2962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12222 Coit Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752512302",
            "country_code": "US",
            "telephone_number": "972-726-6647",
            "fax_number": "972-726-6797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7000 Preston Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750242573",
            "country_code": "US",
            "telephone_number": "214-987-3376",
            "fax_number": "469-532-0273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7445 Las Colinas Blvd",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750637561",
            "country_code": "US",
            "telephone_number": "972-317-3376",
            "fax_number": "972-317-1936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY-SELL",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-17",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "R9509",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "R9509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.