Active NPI
Nallely Rubi Morales Mancillas, MD
- Pediatric Ophthalmology and Strabismus Specialist Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Ophthalmology and Strabismus Specialist Physician
- License
- AL92926
- Practice address
- 167 Ashley Ave
Charleston, SC 29425-8908 - Phone
- (843) 792-8289
- NPI assigned
- Apr 2, 2024
- Last updated
- Aug 26, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 49202 | TX | |
| Pediatric Ophthalmology and Strabismus Specialist Physician | 207WX0110X | AL92926 | SC | Primary |
Addresses
Primary practice location
167 Ashley Ave
Charleston, SC 29425-8908
Mailing address
167 Ashley Ave
Charleston, SC 29425-8905
Phone (843) 792-8289
Other practice location 1
4900 Harry Hines Blvd
Dallas, TX 75235-7719
Phone (214) 590-1900
Other practice location 2
7601 Preston Rd
Plano, TX 75024-3214
Phone (469) 303-7000
Other practice location 3
7609 Preston Rd # P-2200
Plano, TX 75024-3415
Phone (469) 497-2503
Other practice location 4
1935 Medical District Dr
Dallas, TX 75235-7701
Phone (214) 456-2383
Other practice location 5
2350 N Stemmons Fwy Fl I-356
Dallas, TX 75207-2700
Phone (214) 456-7947
Other practice location 6
5303 Harry Hines Blvd Fl 6
Dallas, TX 75390-7208
Phone (214) 645-2020
Other practice location 7
5151 Harry Hines Blvd
Dallas, TX 75235-7707
Phone (214) 633-4700
Other practice location 8
1801 Inwood Rd Fl 5
Dallas, TX 75235-7202
Phone (214) 645-2035
Other practice location 9
5151 Maple Ave Fl 3
Dallas, TX 75235-8136
Phone (214) 590-5499
Other practice location 10
5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (214) 590-8000
Other practice location 11
6201 Harry Hines Blvd
Dallas, TX 75235-5202
Phone (214) 633-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL92926 | SC | MD | Pediatric Ophthalmology and Strabismus Specialist Physician Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients |
Locations
167 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2020
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
Interoperability endpoints
- nmorales477183@direct.musc.edu
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.
-
dba MUSC Physicians
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
dba MUSC PHysicians
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1073605879
-
dba MUSC Health- Rehabiliation - orangeburg - part of musc medical center
- Rehabilitation Hospital
- Orangeburg, SC
- NPI 1154020147
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1659435840
-
dba MUSC Health - Psychiatry - Orangeburg - part of MUSC Medical Center Ch
- Psychiatric Hospital
- Orangeburg, SC
- NPI 1669171740
-
dba MUSC Health - Orangeburg, part of the MUSC Medical Center - Charleston
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1710683354
-
dba MUSC Health - Orangeburg, part of MUSC Medical Center - CHarleston
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1770280299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1881446185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 ASHLEY AVE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258905",
"telephone_number": "843-792-8289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 ASHLEY AVE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258908",
"telephone_number": "843-792-8289"
}
],
"practiceLocations": [
{
"address_1": "4900 Harry Hines Blvd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752357719",
"country_code": "US",
"telephone_number": "214-590-1900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7601 Preston Rd",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750243214",
"country_code": "US",
"telephone_number": "469-303-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7609 Preston Rd # P-2200",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750243415",
"country_code": "US",
"telephone_number": "469-497-2503",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1935 Medical District Dr",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752357701",
"country_code": "US",
"telephone_number": "214-456-2383",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2350 N Stemmons Fwy Fl I-356",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752072700",
"country_code": "US",
"telephone_number": "214-456-7947",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5303 Harry Hines Blvd Fl 6",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "753907208",
"country_code": "US",
"telephone_number": "214-645-2020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5151 Harry Hines Blvd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752357707",
"country_code": "US",
"telephone_number": "214-633-4700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1801 Inwood Rd Fl 5",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752357202",
"country_code": "US",
"telephone_number": "214-645-2035",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5151 Maple Ave Fl 3",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752358136",
"country_code": "US",
"telephone_number": "214-590-5499",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5200 Harry Hines Blvd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752357709",
"country_code": "US",
"telephone_number": "214-590-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6201 Harry Hines Blvd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752355202",
"country_code": "US",
"telephone_number": "214-633-4700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORALES MANCILLAS",
"first_name": "NALLELY RUBI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-02",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "49202",
"primary": false
},
{
"code": "207WX0110X",
"taxonomy_group": "",
"desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
"state": "SC",
"license": "AL92926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.