DR. ADAM JOSEPH MAMELAK (M.D.) – Dermatology Physician, NPI 1174663835

DR. ADAM JOSEPH MAMELAK (M.D.) is a healthcare provider. based in Austin, Texas. specializing in DERMATOLOGY, MICROGRAPHIC DERMATOLOGIC SURGERY (MDS). They hold the professional credentials M.D.. They hold a License No. M6272 (TX). The NPI Number for DR. ADAM JOSEPH MAMELAK (M.D.) is 1174663835

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. ADAM JOSEPH MAMELAK (M.D.)
NPI
1174663835
Phone
(512) 837-3376
Address
12319 N MOPAC EXPY
Enumeration Date
8 February 2007
Last Update Date
9 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5126173000
Graduation Year
2000 (26 years ago)
PAC ID
3870760606
Group Practice PAC ID
6305817230
Professional Enrollment ID
I20120127000061
Address ID
TX786132089CE200XXBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,284 DERMATOLOGY in TX

Provider Addresses for DR. ADAM JOSEPH MAMELAK (M.D.)

  • 12319 N MOPAC EXPY

    BLDG. C, STE. 100

    AUSTIN, TX 787582403

    Phone: (512) 837-3376

    Fax: (512) 837-3377

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 112 Open Payments records for all available years, with a total value of $2,304.

Total Amount is formed as General ($2,304) + Research ($0) + Ownership ($0) = $2,304.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($464).

Total Amount

$2,304

General + Research + Ownership

Payments

112

Total payment records

General Amount

$2,304

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2012-01-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20120127000061IDermatologyTXTBD

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 growths888106$0
99213Established patient office or other outpatient visit, 20-29 minutes383242$0
99212Established patient office or other outpatient visit, 10-19 minutes308236$0
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks281223$0
17000Destruction of precancer skin growth, 1 growth241160$0
View full utilization report →

Insurance plans in this area (ZIP 78758)

Loading plans...

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: 6305817230View full group profile
NameSpecialtyState
Dermatology, Micrographic Dermatologic Surgery (Mds)WI
D E R M A T O L O G YTX
-TX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YLA
D E R M A T O L O G YTX
D E R M A T O L O G YMI
D E R M A T O L O G YTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is DR. ADAM JOSEPH MAMELAK (M.D.) listed with a National Provider Identifier?
Yes — DR. ADAM JOSEPH MAMELAK (M.D.) has NPI 1174663835 on file in the registry.
Is there an active status for DR. ADAM JOSEPH MAMELAK (M.D.)?
For scheduling context, DR. ADAM JOSEPH MAMELAK (M.D.) is shown as active in the registry.
What area of care is associated with DR. ADAM JOSEPH MAMELAK (M.D.)?
DR. ADAM JOSEPH MAMELAK (M.D.)'s record emphasizes Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where in Texas is DR. ADAM JOSEPH MAMELAK (M.D.) registered?
Use Austin, Texas as the headline location for DR. ADAM JOSEPH MAMELAK (M.D.) here.
Does DR. ADAM JOSEPH MAMELAK (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

TONI FUNICELLA (M.D.)

Dermatology Physician
13740, Research Boulevard, Woodland Village, Pond Springs, Austin, Williamson County, Texas, 78750, United States
NPI: 1205830106

KATHERINE K FARADY (MD)

Dermatology Physician
4919 MEMORIAL HWY STE 150
NPI: 1174522791

DAVID A BUSHORE (M.D.)

Dermatology Physician
7800, North Mopac Expressway, Austin, Travis County, Texas, 78759, United States
NPI: 1568461036
8240, North Mopac Expressway, North Crossing, Austin, Travis County, Texas, 78759, United States
NPI: 1407855646

DR. JOHN F. KAISER (M.D.)

Dermatology Physician
VA Austin Outpatient Clinic, 7901, Metropolis Drive, MetCenter, Austin, Travis County, Texas, 78744, United States
NPI: 1508865668

HANS MICHAEL SANDER (MD)

Dermatology Physician
11410, Jollyville Road, Quarry, Austin, Travis County, Texas, 78759, United States
NPI: 1285635813

ROBERT M JACKSON (MD)

Dermatology Physician
7800, North Mopac Expressway, Austin, Travis County, Texas, 78759, United States
NPI: 1649272311

STELLA M. BULENGO (M.D.)

Dermatology Physician
Pat Booker Road, Live Oak, Bexar County, Texas, 78148, United States
NPI: 1194717447

DR. ANTHONY LOUIS TIMKO (M.D.)

Dermatology Physician
PO BOX 849
NPI: 1487647947