Individual provider Active NPI

Nicholas Richard Snavely, MD

  • MOHS-Micrographic Surgery Physician
  • Plano, TX
National Provider Identifier
1801099460
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
P0140 Issued in TX
Practice address
5026 Tennyson Pkwy
Plano, TX 75024-3360
Phone
(972) 985-1920
Fax
(512) 767-7545
NPI assigned
Jun 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 P0140 TX
MOHS-Micrographic Surgery Physician 207ND0101X P0140 TX Primary

Addresses

Primary practice location

5026 Tennyson Pkwy
Plano, TX 75024-3360

Mailing address

5310 Harvest Hill Rd Ste 200
Dallas, TX 75230-5827
Phone (214) 420-0672

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
I20111103000290 TX Practitioner - Dermatology 2567521420 Reassigns benefits to 1 organization
Practice locations: Austin, TX

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Baylor College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oliver Street 5.01(a) IncGroup PAC ID 0042464125, 169 clinicians

Practice addresses (Care Compare)

8210 Walnut Hill LN
516 U.S. Dermatology Partners
Dallas, TX 75231-4420
Phone (214) 369-6411

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision69
Removal of skin lesions29
Removal of skin cancer601
Removal of nail tissue1-10
Skin biopsy18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oliver Street 5.01(a) Inc. Dermatology CurrentSince Sep 15, 2016 Accepting new patients
Colby C Evans PA Dermatology Past Accepting new patients
Dermatology Associates Dermatology Past Accepting new patients
Nicholas R Snavely MD Dermatology PastSince Oct 15, 2013 Accepting new patients

Locations

3508 S Lamar Blvd
Ste 300
Austin, TX 78704
Phone (512) 280-3939

3807 Spicewood Springs Rd
Ste 200
Austin, TX 78759
Phone (512) 345-7635

6618 Sitio del Rio Blvd
#D1
Austin, TX 78730
Phone (512) 478-3376

9701 Brodie Ln
Ste 106
Austin, TX 78748
Phone (512) 280-3939

401 Hospital Dr
Ste 100
Corsicana, TX 75110
Phone (903) 875-0413

8210 Walnut Hill Ln
Ste 810
Dallas, TX 75231
Phone (214) 363-1885

8210 Walnut Hill Ln
Ste 516
Dallas, TX 75231
Phone (214) 369-6411

6117 Berkshire Ln
Dallas, TX 75225
Phone (214) 373-3376

5310 Harvest Hill Rd
Ste 200
Dallas, TX 75230

700 San Gabriel Village Blvd
Ste 105
Georgetown, TX 78626
Phone (512) 219-9910

2321 Ira E Woods Ave
Ste 180
Grapevine, TX 76051
Phone (817) 329-2263

5026 Tennyson Pkwy
Plano, TX 75024
Phone (469) 200-6100

1367 Dominion Plz
Tyler, TX 75703
Phone (903) 534-6200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801099460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 HARVEST HILL RD STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752305827",
            "telephone_number": "214-420-0672",
            "fax_number": "214-736-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5026 TENNYSON PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243360",
            "telephone_number": "972-985-1920",
            "fax_number": "512-767-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNAVELY",
        "first_name": "NICHOLAS",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "P0140",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "P0140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.