THUSHAN N DESILVA MD PLLC
NPI 1689107849
Dermatology in Boerne, TX

Active since April 05, 2017
745 W SAN ANTONIO AVE, SUITE 100, BOERNE, TX 78006(830) 331-4150 Get Directions Write a Review

NPPES record last updated: April 5, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Thushan N Desilva Md Pllc NPPES

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

THUSHAN N DESILVA MD PLLC (NPI 1689107849) is a healthcare organization registered as a dermatology in Boerne, Texas and active in the NPI registry since April 2017. The organization lists Janice Bowen, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1689107849
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameTHUSHAN N DESILVA MD PLLC
Location Address745 W SAN ANTONIO AVE, SUITE 100Boerne, TX 78006-3213
Mailing Address12446 West Ave, Suite 200San Antonio, TX 78216-2517 · (210) 525-1668 · Fax (210) 525-1669
Organization SubpartNo
Authorized OfficialJanice BowenCredentialing Specialist · (713) 292-6959
Enumeration DateApril 5, 2017
✔ NPI 1689107849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
745 W SAN ANTONIO AVE, Boerne, TX 78006

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thushan N Desilva Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Thushan N Desilva MD PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Dermatology
NPI 1003824335
120 OLD SAN ANTONIO RD
Boerne, TX 78006
(830) 331-4150
✔ PECOS✔ Accepts Medicare2.3 mi
Dermatology
NPI 1578597423
9150 HUEBNER RD. SUITE 330
San Antonio, TX 78240
(210) 692-7684
✔ PECOS20 mi
Dermatology
NPI 1114337318
7979 WURZBACH RD FL 3
San Antonio, TX 78229
(210) 450-9840
✔ PECOS✔ Accepts Medicare21 mi
Dermatology
NPI 1689808131
7950 FLOYD CURL DRIVE SUITE 909
San Antonio, TX 78229
(210) 614-3575
✔ PECOS✔ Accepts Medicare21 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 Thushan N Desilva MD PLLC's NPI number?

The NPI number for Thushan N Desilva MD PLLC is 1689107849. It was assigned to this organization in the NPPES registry on April 5, 2017.

Where is Thushan N Desilva MD PLLC located?

Thushan N Desilva MD PLLC is located at 745 W San Antonio Ave Suite 100, Boerne, TX 78006. The listed phone number is (830) 331-4150.

What is Thushan N Desilva MD PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Thushan N Desilva MD PLLC enrolled in Medicare?

Yes. Thushan N Desilva MD PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thushan N Desilva MD PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Dermatology, reassign their Medicare billing to Thushan N Desilva MD PLLC. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Thushan N Desilva MD PLLC was last updated on April 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.