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DANIEL D. WITHEILER, M.D. P.A.
NPI 1578701868
Dermatology - MOHS-Micrographic Surgery in Dallas, TX

Active since January 26, 2009
1411 N BECKLEY AVE, PAVILION III, SUITE 470, DALLAS, TX 75203(214) 941-7546(214) 941-2442 Get Directions Write a Review

NPPES record last updated: February 19, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Daniel D. Witheiler, M.d. P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL D. WITHEILER, M.D. P.A. (NPI 1578701868) is a healthcare organization registered as a mohs-micrographic surgery in Dallas, Texas and active in the NPI registry since January 2009. The organization lists Daniel D Witheiler, Owner, as its authorized official.

NPPES Registry Identity

NPI1578701868
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameDANIEL D. WITHEILER, M.D. P.A.
Location Address1411 N BECKLEY AVE, PAVILION III, SUITE 470Dallas, TX 75203-1259
Mailing Address1411 N Beckley Ave, Pavilion Iii, Suite 470Dallas, TX 75203-1259 · (214) 941-7546 · Fax (214) 941-2442
Phone(214) 941-7546
Fax(214) 941-2442
Organization SubpartNo
Authorized OfficialDaniel D WitheilerOwner · (214) 941-7546
Enumeration DateJanuary 26, 2009
Last NPPES UpdateFebruary 19, 2009
✔ NPI 1578701868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
1411 N BECKLEY AVE, Dallas, TX 75203
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Other Identifiers 2

Medicare UPING35272TX
Medicare PIN0040ASTX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel D. Witheiler, M.d. P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20090303000068Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Daniel D. Witheiler, M.D. P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Daniel Witheiler, M.D.
Dermatology
NPI 1023083482
1411 N BECKLEY AVE PAVILION III, SUITE 470
Dallas, TX 75203
(214) 941-7546
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel D. Witheiler, M.D. P.A.'s NPI number?

The NPI number for Daniel D. Witheiler, M.D. P.A. is 1578701868. It was assigned to this organization in the NPPES registry on January 26, 2009.

Where is Daniel D. Witheiler, M.D. P.A. located?

Daniel D. Witheiler, M.D. P.A. is located at 1411 N Beckley Ave Pavilion III, Suite 470, Dallas, TX 75203. The listed phone number is (214) 941-7546.

What is Daniel D. Witheiler, M.D. P.A.'s specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Daniel D. Witheiler, M.D. P.A. enrolled in Medicare?

Yes. Daniel D. Witheiler, M.D. P.A. is registered in the Medicare PECOS enrollment system.

When is Daniel D. Witheiler, M.D. P.A.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Daniel D. Witheiler, M.D. P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Daniel D. Witheiler, M.D. P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Daniel D. Witheiler, M.D. P.A. accept?

Health plans from Molina Healthcare and WellPoint list Daniel D. Witheiler, M.D. P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daniel D. Witheiler, M.D. P.A. was last updated on February 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.