SMRITI PRASAD – MOHS-Micrographic Surgery Physician, NPI 1316568538
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
100 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in TX
Provider Addresses for SMRITI PRASAD
4120 SAN ANTONIO ST
ODESSA, TX 79765
Phone: (432) 333-9200
Fax: (432) 333-9300
Type: Mailing
4120 SAN ANTONIO ST.
ODESSA, TX 79765
Phone: (432) 333-9200
Fax: (432) 333-9300
Type: Location
1911 HOLCOMBE BLVD APT 2106
HOUSTON, TX 770304195
Phone:
Type: Mailing
1 BAYLOR PLZ
HOUSTON, TX 770303411
Phone: (713) 798-4951
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-09-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240821003218 | I | Dermatology | OH | TBD |
| I20250908004068 | I | Micrographic Dermatologic Surgery (Mds) | TX | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 79765)
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