Abilene Dermatology and Skin Surgery Center PC
NPI 1962681304ActiveOrganization· Dermatology· Abilene, TX
Dermatology in Abilene, Texas, registered in NPPES in November 2007. The authorized official on file is Sina Aboutalebi, MD, Vice President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1962681304 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 2, 2007 |
| Last updated in NPPES | Nov 15, 2023 |
| Certified by provider | Nov 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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