ALL SKIN DERMATOLOGY, PLLC – Procedural Dermatology Physician, NPI 1760194443

ALL SKIN DERMATOLOGY, PLLC is a healthcare provider. based in Wichita falls, Texas. specializing in Procedural Dermatology Physician. The NPI Number for ALL SKIN DERMATOLOGY, PLLC is 1760194443

Main info

Organization
Name
ALL SKIN DERMATOLOGY, PLLC
NPI
1760194443
Phone
(940) 239-9160
Address
2637 PLAZA PKWY
Authorized Official
DR. GRACE AYANDIBU MEDICAL DIRECTOR MD, MS
Enumeration Date
14 December 2022
Last Update Date
10 April 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:3State licenses:0Digital endpointsOther names

Provider Addresses for ALL SKIN DERMATOLOGY, PLLC

  • 2637 PLAZA PKWY

    WICHITA FALLS, TX 763083889

    Phone: (940) 239-9160

    Mailing address matches the actual address.

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: 2023-03-14

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
O20230314000872OClinic/Group PracticeTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76308)

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Reviews

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Frequently asked questions

What identifier follows ALL SKIN DERMATOLOGY, PLLC across health systems?
The NPI 1760194443 uniquely identifies ALL SKIN DERMATOLOGY, PLLC in U.S. healthcare data.
Does the public listing show ALL SKIN DERMATOLOGY, PLLC as active?
ALL SKIN DERMATOLOGY, PLLC's NPI record reflects an active status in NPPES.
What services align with ALL SKIN DERMATOLOGY, PLLC's listing?
ALL SKIN DERMATOLOGY, PLLC's public classification highlights Procedural Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is ALL SKIN DERMATOLOGY, PLLC tied to Wichita Falls, Texas?
If you are local to Wichita Falls, Texas, ALL SKIN DERMATOLOGY, PLLC may be relevant to your search.
Can I export ALL SKIN DERMATOLOGY, PLLC's record?
You can download the official NPPES record; we summarize key fields for readability.

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