PRESTIGE DERMATOLOGY OF MIDLOTHIAN
NPI 1912549833
Dermatology in Midlothian, TX
About Prestige Dermatology Of Midlothian NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRESTIGE DERMATOLOGY OF MIDLOTHIAN (NPI 1912549833) is a healthcare organization registered as a dermatology in Midlothian, Texas and active in the NPI registry since October 2019. The organization lists Ryan Pham, Managing Member, 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)
Prestige Dermatology Of Midlothian is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Prestige Dermatology Of Midlothian, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
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 Prestige Dermatology Of Midlothian's NPI number?
The NPI number for Prestige Dermatology Of Midlothian is 1912549833. It was assigned to this organization in the NPPES registry on October 11, 2019.
Where is Prestige Dermatology Of Midlothian located?
Prestige Dermatology Of Midlothian is located at 320 Hawkins Run Rd. Suite 1, Midlothian, TX 76065. The listed phone number is (469) 758-4800.
What is Prestige Dermatology Of Midlothian's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Prestige Dermatology Of Midlothian enrolled in Medicare?
Yes. Prestige Dermatology Of Midlothian is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prestige Dermatology Of Midlothian?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Prestige Dermatology Of Midlothian, in Dermatology, Family Practice and Nurse Practitioner. 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 Prestige Dermatology Of Midlothian accept?
Health plans from Molina Healthcare list Prestige Dermatology Of Midlothian 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 Prestige Dermatology Of Midlothian was last updated on July 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Prestige Dermatology Of Midlothian · NPI 1912549833
Dermatology organization in Midlothian, Texas. Organization record, active in the CMS NPPES registry since October 11, 2019.
## Identity
- **NPI:** 1912549833 (Entity type: Organization)
- **Enumerated:** October 11, 2019
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Ryan Pham, MANAGING MEMBER
## Practice location
- **Address:** 320 HAWKINS RUN RD., SUITE 1, Midlothian, TX 76065
- **Phone:** (469) 758-4800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (1), Family Practice (1), Nurse Practitioner (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 31, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1912549833) · Data from the CMS NPPES public registry.