Individual provider Active NPI

Carina Woodruff, M.D.

  • Dermatology Physician
  • Dallas, TX
National Provider Identifier
1942696950
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
T5497 Issued in TX
Practice address
411 N Washington Ave Ste 7300
Dallas, TX 75246-1751
Phone
(214) 296-4477
NPI assigned
Apr 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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 T5497 TX Primary

Addresses

Primary practice location

411 N Washington Ave Ste 7300
Dallas, TX 75246-1751

Mailing address

6601 Vaught Ranch Rd Ste 200
Austin, TX 78730-2309
Phone (512) 628-0465

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
I20220506000395 TX Practitioner - Dermatology 8921383431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Yale University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology PAGroup PAC ID 3971827791, 106 clinicians

Practice addresses (Care Compare)

215 S Denton Tap Rd
Suite 170
Coppell, TX 75019-5066
Phone (469) 312-7302

2504 Ridge Rd
Suite 102
Rockwall, TX 75087-2570
Phone (214) 771-3100

411 N Washington Ave
Suite 7300
Dallas, TX 75246-1751
Phone (214) 296-4477

7106 New Sanger Rd
Waco, TX 76712-3928
Phone (254) 537-1265

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as group
Quality
76.91
Promoting interoperability
91
Improvement activities
40
Cost
77.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision28
Removal of skin lesions552
Removal or shaving of skin growth1-10
Skin biopsy245

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology PA Dermatology CurrentSince May 1, 2022 Accepting new patients
R Todd Plott MD PA Dermatology CurrentSince Oct 30, 2011 Accepting new patients

Locations

6601 Vaught Ranch Rd
Ste 200
Austin, TX 78730
Phone (575) 640-6306

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

1615 Hospital Pkwy
Ste 306
Bedford, TX 76022
Phone (817) 684-5100

215 S Denton Tap Rd
Ste 170
Coppell, TX 75019
Phone (469) 293-2067

411 N Washington Ave
Ste 7300
Dallas, TX 75246
Phone (214) 296-4477

12469 Timberland Blvd
Ste 501
Fort Worth, TX 76244
Phone (817) 431-6555

2504 Ridge Rd
Ste 102
Rockwall, TX 75087
Phone (972) 771-1794

Interoperability endpoints

  • Direct secure messaging: carina.woodruff@epiphanyderm.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1942696950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 VAUGHT RANCH RD STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787302309",
            "telephone_number": "512-628-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N WASHINGTON AVE STE 7300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461751",
            "telephone_number": "214-296-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "CARINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "T5497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.