NPI Details
Grace Ayandibu, M.D, M.S, LPC is a procedural dermatology dermatology in Wichita Falls, TX with 7 years of experience. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). Grace Ayandibu, M.D, M.S, LPC NPI is 1023395928. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2637 PLAZA PKWY
WICHITA FALLS, TX
ZIP 76308-889
Phone: (940) 239-9160
The NPI 1023395928 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 11/8/2011 and was last updated on 4/10/2023.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 101YM0800X | Counselor | Mental Health | 178007242 | ILLINOIS | No |
| 2 | 390200000X | Student in an Organized Health Care Education/Training Program | | | | No |
| 3 | 207NS0135X | Dermatology | Procedural Dermatology | T9346 | TEXAS | Yes |
