WEST TEXAS DERMATOLOGY AND SKIN CANCER CENTER PLLC
NPI 1942620554
Dermatology in San Angelo, TX

Active since April 22, 2014
3162 APPALOOSA CIR, SAN ANGELO, TX 76901(325) 224-5981(325) 224-5986 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About West Texas Dermatology And Skin Cancer Center Pllc NPPES

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

WEST TEXAS DERMATOLOGY AND SKIN CANCER CENTER PLLC (NPI 1942620554) is a healthcare organization registered as a dermatology in San Angelo, Texas and active in the NPI registry since April 2014. The organization lists Mark Adam Ramirez, President, as its authorized official.

NPPES Registry Identity

NPI1942620554
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameWEST TEXAS DERMATOLOGY AND SKIN CANCER CENTER PLLC
Location Address3162 APPALOOSA CIRSan Angelo, TX 76901-5225
Mailing AddressPo Box 62701San Angelo, TX 76906-2701 · (325) 224-5981 · Fax (325) 224-5986
Fax(325) 224-5986
Organization SubpartNo
Authorized OfficialMark Adam RamirezPresident · (325) 224-5981
Enumeration DateApril 22, 2014
Last NPPES UpdateMarch 7, 2024
NPPES CertifiedMarch 7, 2024
✔ NPI 1942620554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
3162 APPALOOSA CIR, San Angelo, TX 76901

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

West Texas Dermatology And Skin Cancer Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

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 IDO20140910002021Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
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 West Texas Dermatology And Skin Cancer Center PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1639373210
3162 APPALOOSA CIR
San Angelo, TX 76901
(325) 224-5981
✔ PECOS✔ Accepts MedicareSame address

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 West Texas Dermatology And Skin Cancer Center PLLC's NPI number?

The NPI number for West Texas Dermatology And Skin Cancer Center PLLC is 1942620554. It was assigned to this organization in the NPPES registry on April 22, 2014.

Where is West Texas Dermatology And Skin Cancer Center PLLC located?

West Texas Dermatology And Skin Cancer Center PLLC is located at 3162 Appaloosa Cir, San Angelo, TX 76901. The listed phone number is (325) 224-5981.

What is West Texas Dermatology And Skin Cancer Center PLLC's specialty?

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

Is West Texas Dermatology And Skin Cancer Center PLLC enrolled in Medicare?

Yes. West Texas Dermatology And Skin Cancer Center PLLC is registered in the Medicare PECOS enrollment system.

When is West Texas Dermatology And Skin Cancer Center PLLC'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 January 31, 2027. 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 West Texas Dermatology And Skin Cancer Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to West Texas Dermatology And Skin Cancer Center 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for West Texas Dermatology And Skin Cancer Center PLLC was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.