Prestige Dermatology PLLC
NPI 1962878843 · Dermatology Physician · Burleson, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prestige Dermatology PLLC is a Dermatology Physician organization in Burleson, TX (NPI 1962878843).
Provider details
- NPI number
- 1962878843
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ryan Pham, Managing Partner(817) 718-3571
Specialties & taxonomies
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
- 2015-08-14
- Last updated
- 2024-05-06
- Certified
- 2024-05-06
Frequently asked questions
- What is Prestige Dermatology PLLC's NPI number?
- Prestige Dermatology PLLC's National Provider Identifier (NPI) is 1962878843, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prestige Dermatology PLLC?
- Prestige Dermatology PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Prestige Dermatology PLLC located?
- Prestige Dermatology PLLC's practice location on file with NPPES is 264 Exchange St, Burleson, TX 76028-4575.
- What is Prestige Dermatology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Prestige Dermatology PLLC is (817) 766-7421.
- Does Prestige Dermatology PLLC accept Medicare?
- Prestige Dermatology 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 PLLC?
- The authorized official listed on Prestige Dermatology PLLC's NPPES record is Ryan Pham, Managing Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prestige Dermatology PLLC's NPI active?
- Yes — Prestige Dermatology PLLC's NPI (1962878843) is active in the NPPES registry as of the last update on 2024-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.