SOUTHSIDE DERMATOLOGY PLLC
NPI 1750877072
Dermatology in Tulsa, OK
About Southside Dermatology Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHSIDE DERMATOLOGY PLLC (NPI 1750877072) is a healthcare organization registered as a dermatology in Tulsa, Oklahoma and active in the NPI registry since July 2018. The organization lists Robert Fischer, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southside Dermatology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Southside Dermatology PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 Southside Dermatology PLLC's NPI number?
The NPI number for Southside Dermatology PLLC is 1750877072. It was assigned to this organization in the NPPES registry on July 10, 2018.
Where is Southside Dermatology PLLC located?
Southside Dermatology PLLC is located at 720 W 71st St, Tulsa, OK 74132. The listed phone number is (918) 760-0700.
What is Southside Dermatology PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Southside Dermatology PLLC enrolled in Medicare?
Yes. Southside Dermatology PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southside Dermatology PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Southside Dermatology 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. The largest specialties are Dermatology (3), Micrographic Dermatologic Surgery (MDS) (1) and Nurse Practitioner (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southside Dermatology PLLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Southside Dermatology PLLC 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 Southside Dermatology PLLC was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.