PRESTIGE DERMATOLOGY PLLC
NPI 1962878843
Dermatology in Burleson, TX
About Prestige Dermatology Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRESTIGE DERMATOLOGY PLLC (NPI 1962878843) is a healthcare organization registered as a dermatology in Burleson, Texas and active in the NPI registry since August 2015. The organization lists Ryan Pham, Managing Partner, 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 Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Prestige Dermatology PLLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 PLLC's NPI number?
The NPI number for Prestige Dermatology PLLC is 1962878843. It was assigned to this organization in the NPPES registry on August 14, 2015.
Where is Prestige Dermatology PLLC located?
Prestige Dermatology PLLC is located at 264 Exchange St, Burleson, TX 76028. The listed phone number is (817) 766-7421.
What is Prestige Dermatology PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Prestige Dermatology PLLC enrolled in Medicare?
Yes. Prestige Dermatology PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prestige Dermatology PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Prestige Dermatology PLLC, 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Prestige Dermatology PLLC accept?
Health plans from Molina Healthcare list Prestige 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 Prestige Dermatology PLLC was last updated on May 6, 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.