Individual provider Active NPI

Nallely Rubi Morales Mancillas, MD

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Charleston, SC
National Provider Identifier
1881446185
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
AL92926 Issued in SC
Practice address
167 Ashley Ave
Charleston, SC 29425-8908
Phone
(843) 792-8289
NPI assigned
Apr 2, 2024
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240801004624 SC Practitioner - Ophthalmology 7416494968 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
AL92926SCMDPediatric Ophthalmology and Strabismus Specialist Physician Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol CurrentSince Jul 9, 2024 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Jul 9, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.