Individual provider Active NPI

Tamara S Housman, MD

  • MOHS-Micrographic Surgery Physician
  • Raleigh, NC
National Provider Identifier
1952492548
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
200001428 Issued in NC
Practice address
3811 Ed Dr.
Suite 110
Raleigh, NC 27612-8106
Phone
(919) 390-0200
Fax
(919) 390-0219
NPI assigned
Sep 27, 2006
Last updated
Oct 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD27163 OR
Dermatology Physician 207N00000X 200001428 NC
MOHS-Micrographic Surgery Physician 207ND0101X MD27163 OR
MOHS-Micrographic Surgery Physician 207ND0101X 200001428 NC Primary

Addresses

Primary practice location

3811 Ed Dr.
Suite 110
Raleigh, NC 27612-8106

Mailing address

3811 Ed Drive
Suite 110
Raleigh, NC 27612-8106
Phone (919) 390-0200

Other identifiers 1

IdentifierTypeStateIssuer
P00443443OtherORRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20080422000510 NC Practitioner - Dermatology 4789685736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Louisville School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Skin Surgery CenterGroup PAC ID 6103904842, 2 clinicians

Practice addresses (Care Compare)

3811 Ed Dr
Suite 110
Raleigh, NC 27612-2393
Phone (919) 390-0200

Merit-based Incentive Payment System (MIPS)

Final score
91.24 of 100Reported as group
Quality
100
Improvement activities
40
Cost
70.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision146
Removal of tissue159
Removal of skin lesions580
Removal of skin cancer957
Removal or shaving of skin growth1-10
Skin biopsy438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD27163ORMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Skin Surgery Center Dermatology CurrentSince Jul 1, 2008 Accepting new patients
Raleigh Skin Surgery Center Dermatology CurrentSince Jul 1, 2008 Accepting new patients

Locations

3811 Ed Dr
Ste 110
Raleigh, NC 27612
Phone (919) 380-0200

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1952492548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 ED DRIVE",
            "address_2": "SUITE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128106",
            "telephone_number": "919-390-0200",
            "fax_number": "919-390-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 ED DR.",
            "address_2": "SUITE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128106",
            "telephone_number": "919-390-0200",
            "fax_number": "919-390-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSMAN",
        "first_name": "TAMARA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MD27163",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "200001428",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OR",
            "license": "MD27163",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NC",
            "license": "200001428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00443443",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.