Sina Aboutalebi, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

N0588 Issued in TX

Practice address

3190 Antilley Rd
Abilene, TX 79606-5015

Phone

(325) 672-5603

Fax

(325) 672-6570

NPI assigned

Aug 10, 2007

Last updated

Mar 31, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Dermatology

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Abilene Dermatology and Skin Surgery Center PCGroup PAC ID 0143306498, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hendrick Medical Center Hospital, Abilene, TX, CCN 450229

Merit-based Incentive Payment System (MIPS)

Final score

93.24 of 100Reported as individual

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

77.48

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Abilene Dermatology and Skin Surgery Center PC

  • Dermatology Physician
  • Abilene, TX
  • NPI 1962681304
  Medicare reassignment Care Compare group NPD Authorized official
• USA Vein Clinics of Dallas PLLC

  • Vascular Surgery Physician
  • Dallas, TX
  • NPI 1205488632
  NPD
• Craig D. Urban, MD PA

  dba Abilene Dermatology & Skin Surgery Center

  • Specialist
  • Abilene, TX
  • NPI 1770664740
  NPD (past)

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

• Hendrick Medical Center

  • General Acute Care Hospital
  • Abilene, TX
  • NPI 1528064649
  Care Compare affiliation

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1932391232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 ANTILLEY RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065015",
            "telephone_number": "325-672-5603",
            "fax_number": "325-672-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 ANTILLEY RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065015",
            "telephone_number": "325-672-5603",
            "fax_number": "325-672-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOUTALEBI",
        "first_name": "SINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-10",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "N0588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD OF TEXAS",
            "identifier": "8BZ800",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abilene Texas Emergency Center LLC
• Abilene Urology, PLLC
• Abilene White Rock Surgery Center, LLC
• Jennifer Abney, FNP
• Calvin J Abor, P.A.
• Accentcare Inc
• Cynthia Kay Acock
• Brittany N. Acosta
• Julio Acosta
• Action Chiropractic Clinic PLLC

• Dermatology Physician in Abilene, TX
• Providers in Abilene, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.

Verify at the official NPI Registry.