Prestige Dermatology of Alliance, PLLC
NPI 1427415314 · Dermatology Physician · Fort Worth, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prestige Dermatology of Alliance, PLLC is a Dermatology Physician organization in Fort Worth, TX (NPI 1427415314).
Provider details
- NPI number
- 1427415314
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ryan Pham, Managing Member(817) 766-7421
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-01-22
- Last updated
- 2021-01-21
- Certified
- 2021-01-21
Frequently asked questions
- What is Prestige Dermatology of Alliance, PLLC's NPI number?
- Prestige Dermatology of Alliance, PLLC's National Provider Identifier (NPI) is 1427415314, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prestige Dermatology of Alliance, PLLC?
- Prestige Dermatology of Alliance, PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Prestige Dermatology of Alliance, PLLC located?
- Prestige Dermatology of Alliance, PLLC's practice location on file with NPPES is 3629 Western Center Blvd, Fort Worth, TX 76137-1939.
- What is Prestige Dermatology of Alliance, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Prestige Dermatology of Alliance, PLLC is (817) 766-7421.
- Does Prestige Dermatology of Alliance, PLLC accept Medicare?
- Prestige Dermatology of Alliance, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Prestige Dermatology of Alliance, PLLC?
- The authorized official listed on Prestige Dermatology of Alliance, PLLC's NPPES record is Ryan Pham, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prestige Dermatology of Alliance, PLLC's NPI active?
- Yes — Prestige Dermatology of Alliance, PLLC's NPI (1427415314) is active in the NPPES registry as of the last update on 2021-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.