Individual provider Active NPI

Michelle Ailan Fricke, MD

  • Dermatology Physician
  • San Antonio, TX
National Provider Identifier
1821479072
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
S2035 Issued in TX
Practice address
131 W Sunset Rd Ste 101
San Antonio, TX 78209-2797
Phone
(210) 255-8447
Fax
(210) 255-8446
NPI assigned
Jun 13, 2015
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X S2035 TX Primary

Addresses

Primary practice location

131 W Sunset Rd Ste 101
San Antonio, TX 78209-2797

Mailing address

131 W Sunset Rd Ste 101
San Antonio, TX 78209-2797
Phone (210) 255-8447

Other practice location 1

121 Bulverde Crossing Rd Ste 110
Bulverde, TX 78163-6201
Phone (830) 380-3031

Other names 1

  • Dr. Michelle Ailan Nguyen Former name

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
I20190712000105 TX Practitioner - Dermatology 9931412277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical School at San Antonio, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alamo Heights Dermatology PAGroup PAC ID 6608901871, 7 clinicians

Practice addresses (Care Compare)

131 W Sunset Rd
Suite 101
San Antonio, TX 78209-2797
Phone (210) 255-8447

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision15
Removal of skin lesions924
Removal or shaving of skin growth24
Skin biopsy62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S2035TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alamo Heights Dermatology PA Dermatology CurrentSince Oct 1, 2020 Accepting new patients
Life Balance, PLLC PastSince Jul 31, 2023 Accepting new patients

Locations

121 Bulverde Crossing Rd
Ste 110
Bulverde, TX 78163
Phone (830) 380-3031

131 W Sunset Rd
Ste 101
San Antonio, TX 78209
Phone (210) 225-8447

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDBIAA

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": "1434153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1821479072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 W SUNSET RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092797",
            "telephone_number": "210-255-8447",
            "fax_number": "210-255-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W SUNSET RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092797",
            "telephone_number": "210-255-8447",
            "fax_number": "210-255-8446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Bulverde Crossing Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Bulverde",
            "state": "TX",
            "postal_code": "781636201",
            "country_code": "US",
            "telephone_number": "830-380-3031",
            "fax_number": "210-255-8446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRICKE",
        "first_name": "MICHELLE",
        "middle_name": "AILAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-13",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "S2035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "NGUYEN",
            "middle_name": "AILAN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.