Individual provider Active NPI

Simone Stalling, MD

  • Dermatology Physician
  • Houston, TX
National Provider Identifier
1922310911
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
P9743 Issued in TX
Practice address
915 Gessner Rd Ste 500
Houston, TX 77024-2568
Phone
(713) 468-0303
Fax
(713) 468-0307
NPI assigned
Jul 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT197636 PA
Dermatology Physician 207N00000X P9743 TX Primary

Addresses

Primary practice location

915 Gessner Rd Ste 500
Houston, TX 77024-2568

Mailing address

915 Gessner Rd Ste 500
Houston, TX 77024-2568
Phone (713) 468-0303

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
I20141223002169 TX Practitioner - Dermatology 0840513834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Perelman School of Med at the University of Pennsylvania, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simone Stalling MD PHD PLLCGroup PAC ID 4486994001, 2 clinicians

Practice addresses (Care Compare)

915 Gessner Rd
Suite 500
Houston, TX 77024-2568
Phone (713) 468-0303

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision25
Removal of tissue1-10
Removal of skin lesions343
Removal or shaving of skin growth13
Skin biopsy116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P9743TXMDDermatology Physician
MT197636PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Simone Stalling MD PHD PLLC Dermatology CurrentSince Jan 15, 2019 Accepting new patients

Locations

915 Gessner Rd
Ste 500
Houston, TX 77024
Phone (713) 468-0303

Organizations & group practices 1

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": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1922310911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 GESSNER RD STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242568",
            "telephone_number": "713-468-0303",
            "fax_number": "713-468-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 GESSNER RD STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242568",
            "telephone_number": "713-468-0303",
            "fax_number": "713-468-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLING",
        "first_name": "SIMONE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT197636",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "P9743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.