ABILENE DERMATOLOGY AND SKIN SURGERY CENTER PC
NPI 1962681304
Dermatology in Abilene, TX

Active since November 02, 2007
3190 ANTILLEY RD, ABILENE, TX 79606(325) 672-5603(325) 672-6570 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Abilene Dermatology And Skin Surgery Center Pc NPPES

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

ABILENE DERMATOLOGY AND SKIN SURGERY CENTER PC (NPI 1962681304) is a healthcare organization registered as a dermatology in Abilene, Texas and active in the NPI registry since November 2007. The organization lists Sina Aboutalebi, Vice President, as its authorized official.

NPPES Registry Identity

NPI1962681304
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameABILENE DERMATOLOGY AND SKIN SURGERY CENTER PC
Location Address3190 ANTILLEY RDAbilene, TX 79606-5006
Mailing Address3190 Antilley RoadAbilene, TX 79606-5015 · (325) 672-5603 · Fax (325) 672-6570
Fax(325) 672-6570
Organization SubpartNo
Authorized OfficialSina AboutalebiVice President · (325) 672-5603
Enumeration DateNovember 2, 2007
Last NPPES UpdateNovember 15, 2023
NPPES CertifiedNovember 15, 2023
✔ NPI 1962681304 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.
3190 ANTILLEY RD, Abilene, TX 79606

Other Identifiers 2

Other0087QHTX · Blue Cross Blue Shield Of Texas
OtherCG5724TX · Railroad Medicare

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abilene Dermatology And Skin Surgery Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Abilene Dermatology And Skin Surgery Center PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Dermatology
NPI 1932391232
3190 ANTILLEY RD
Abilene, TX 79606
(325) 672-5603
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1316601628
3190 ANTILLEY RD
Abilene, TX 79606
(325) 672-5603
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1487032462
3190 ANTILLEY RD
Abilene, TX 79606
(325) 672-5603
✔ 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 Abilene Dermatology And Skin Surgery Center PC's NPI number?

The NPI number for Abilene Dermatology And Skin Surgery Center PC is 1962681304. It was assigned to this organization in the NPPES registry on November 2, 2007.

Where is Abilene Dermatology And Skin Surgery Center PC located?

Abilene Dermatology And Skin Surgery Center PC is located at 3190 Antilley Rd, Abilene, TX 79606. The listed phone number is (325) 672-5603.

What is Abilene Dermatology And Skin Surgery Center PC's specialty?

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

Is Abilene Dermatology And Skin Surgery Center PC enrolled in Medicare?

Yes. Abilene Dermatology And Skin Surgery Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Abilene Dermatology And Skin Surgery Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Abilene Dermatology And Skin Surgery Center PC, in Dermatology 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. Of these, 3 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 Abilene Dermatology And Skin Surgery Center PC was last updated on November 15, 2023. 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.