DR. KASSAHUN BILCHA (MD) – Student in an Organized Health Care Education/Training Program, NPI 1134652258

DR. KASSAHUN BILCHA (MD) is a healthcare provider. based in Dallas, Texas. specializing in DERMATOLOGY. They hold the professional credentials MD. The NPI Number for DR. KASSAHUN BILCHA (MD) is 1134652258

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. KASSAHUN BILCHA (MD)
NPI
1134652258
Phone
(214) 420-0650
Address
5310 HARVEST HILL RD STE 290
Enumeration Date
5 April 2017
Last Update Date
17 November 2023

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
21442006507537
Graduation Year
2018 (8 years ago)
PAC ID
9335556851
Group Practice PAC ID
4688653306
Professional Enrollment ID
I20210330001678
Address ID
VA201666512ST21495CIRX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:9State licenses:0Digital endpointsOther names

471 DERMATOLOGY in VA

Provider Addresses for DR. KASSAHUN BILCHA (MD)

  • 5310 HARVEST HILL RD STE 290

    DALLAS, TX 752305826

    Phone: (214) 420-0650

    Type: Mailing

  • 13880 BRADDOCK RD

    CENTREVILLE, VA 201212459

    Phone: (703) 884-2260

    Fax: (703) 222-6093

    Type: Location

  • 21495 Ridgetop Cir

    Sterling, VA 201668520

    Phone: (703) 782-9617

    Fax: (703) 450-4800

    Type: Location

  • 6550 Mercantile Dr E Ste 203

    Frederick, MD 217037657

    Phone: (240) 422-8859

    Fax: (240) 422-8862

    Type: Location

  • Clifton Road Northeast, Candler Park, Druid Hills, DeKalb County, Georgia, 30329, United States

    ATLANTA, GA 303224200

    Phone: (404) 778-3333

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 377 Open Payments records for all available years, with a total value of $6,987.

Total Amount is formed as General ($6,987) + Research ($0) + Ownership ($0) = $6,987.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($1,141).

Total Amount

$6,987

General + Research + Ownership

Payments

377

Total payment records

General Amount

$6,987

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-05-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210330001678IDermatologyVATBD
I20210505001267IDermatologyDCTBD
I20230511000075IDermatologyMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths679156$0
17000Destruction of precancer skin growth, 1 growth206192$0
11102Biopsy of related skin growth, first growth178171$0
99213Established patient office or other outpatient visit, 20-29 minutes168150$0
99203New patient office or other outpatient visit, 30-44 minutes118118$0
View full utilization report →

Insurance plans in this area (ZIP 75230)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688653306View full group profile
NameSpecialtyState
D E R M A T O L O G YIL
-DC
D E R M A T O L O G YMN
D E R M A T O L O G YMD
D E R M A T O L O G YMD
D E R M A T O L O G YTX
Physician AssistantWI
D E R M A T O L O G YVA
-VA
Physician AssistantMD

Reviews

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Frequently asked questions

What is DR. KASSAHUN BILCHA (MD)'s NPI number?
DR. KASSAHUN BILCHA (MD)'s NPI is 1134652258 — the number used across U.S. healthcare to identify this provider.
Is DR. KASSAHUN BILCHA (MD) still an active registrant?
DR. KASSAHUN BILCHA (MD) carries an active NPI according to the public dataset.
What kind of doctor is DR. KASSAHUN BILCHA (MD)?
DR. KASSAHUN BILCHA (MD) is associated with Student in an Organized Health Care Education/Training Program in the directory — Clinical services aligned with this taxonomy classification.
Where in Texas is DR. KASSAHUN BILCHA (MD) registered?
Use Dallas, Texas as the headline location for DR. KASSAHUN BILCHA (MD) here.
When was this NPI issued?
Enumeration for DR. KASSAHUN BILCHA (MD) is noted as April 5, 2017 where the registry provides it.

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