Individual provider Active NPI

Pooyan Rohani, MD

  • MOHS-Micrographic Surgery Physician
  • Colleyville, TX
National Provider Identifier
1962898312
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
S6926 Issued in TX
Practice address
1209 Hall Johnson Rd
Colleyville, TX 76034-7814
Phone
(817) 888-8524
Fax
(817) 888-8524
NPI assigned
Apr 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X S6926 TX Primary

Addresses

Primary practice location

1209 Hall Johnson Rd
Colleyville, TX 76034-7814

Mailing address

1209 Hall Johnson Rd
Colleyville, TX 76034-7814
Phone (817) 888-8524

Other practice location 1

6000 W Spring Creek Pkwy Ste 200
Plano, TX 75024-3617
Phone (917) 316-4555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200713002642 TX Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 0941597611 Reassigns benefits to 2 organizations
I20260603004529 AZ Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 0941597611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Vanderbilt University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thomas DermatologyGroup PAC ID 9830277136, 35 clinicians
Dr Michael McGuiness PAGroup PAC ID 5698801702, 15 clinicians

Practice addresses (Care Compare)

1209 Hall Johnson Rd
Colleyville, TX 76034-7814
Phone (817) 888-8524

1801 Mesquite Ave
Lake Havasu City, AZ 86403-5668
Phone (928) 854-5400

6000 W Spring Creek Pkwy
200 McGuiness Dermatology
Plano, TX 75024-3617
Phone (972) 316-4555

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision134
Removal of skin lesions35
Removal of skin cancer939
Skin biopsy38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S6926TXMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Michael McGuiness, PA Dermatology CurrentSince Sep 1, 2020 Accepting new patients
Dermatology Experts of Texas PLLC Dermatology CurrentSince Feb 1, 2024 Accepting new patients

Locations

1209 Hall Johnson Rd
Colleyville, TX 76034
Phone (817) 888-8524

152 Brand
Ste 100
Murphy, TX 75094
Phone (214) 615-1735

6000 W Spring Creek Pkwy
Ste 200
Plano, TX 75024

Interoperability endpoints

  • Direct secure messaging: prohani@ivy.emadirect.md

Organizations & group practices 3

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": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1962898312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 HALL JOHNSON RD",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347814",
            "telephone_number": "817-888-8524",
            "fax_number": "817-888-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 HALL JOHNSON RD",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347814",
            "telephone_number": "817-888-8524",
            "fax_number": "817-888-8524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 W Spring Creek Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750243617",
            "country_code": "US",
            "telephone_number": "917-316-4555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROHANI",
        "first_name": "POOYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "S6926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

Verify at the official NPI Registry.