AMARILLO DERMATOLOGY, P.A.
NPI 1619976685
Dermatology in Amarillo, TX
About Amarillo Dermatology, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMARILLO DERMATOLOGY, P.A. (NPI 1619976685) is a healthcare organization registered as a dermatology in Amarillo, Texas and active in the NPI registry since July 2005. The organization lists Edward Mccarthy, Physician/partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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)
Amarillo Dermatology, 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.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Amarillo Dermatology, P.A., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Amarillo Dermatology, P.A.'s NPI number?
The NPI number for Amarillo Dermatology, P.A. is 1619976685. It was assigned to this organization in the NPPES registry on July 20, 2005.
Where is Amarillo Dermatology, P.A. located?
Amarillo Dermatology, P.A. is located at 4512 Van Winkle Dr, Amarillo, TX 79119. The listed phone number is (806) 358-1497.
What is Amarillo Dermatology, P.A.'s specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Amarillo Dermatology, P.A. enrolled in Medicare?
Yes. Amarillo Dermatology, P.A. is registered in the Medicare PECOS enrollment system.
When is Amarillo Dermatology, 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 Amarillo Dermatology, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Amarillo Dermatology, 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Amarillo Dermatology, P.A. was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Amarillo Dermatology, P.a. · NPI 1619976685
Dermatology organization in Amarillo, Texas. Organization record, active in the CMS NPPES registry since July 20, 2005.
## Identity
- **NPI:** 1619976685 (Entity type: Organization)
- **Enumerated:** July 20, 2005
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Edward Mccarthy, PHYSICIAN/PARTNER
## Practice location
- **Address:** 4512 VAN WINKLE DR, Amarillo, TX 79119
- **Phone:** (806) 358-1497 · **Fax:** (806) 358-1375
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 23, 2021
- **Other identifiers:** Medicaid 157343801 (TX)
---
Source: [NPI Profile](https://npiprofile.com/npi/1619976685) · Data from the CMS NPPES public registry.