BAYTOWN DERMATOLOGY, P.A. – Dermatology Physician, NPI 1033325550

BAYTOWN DERMATOLOGY, P.A. is a healthcare provider. based in Baytown, Texas. specializing in Dermatology Physician. The organization holds a License No. 45D0496518 (TX). The NPI Number for BAYTOWN DERMATOLOGY, P.A. is 1033325550

Main info

Organization
Name
BAYTOWN DERMATOLOGY, P.A.
NPI
1033325550
Phone
(281) 425-9375
Address
3730 EMMETT HUTTO BLVD
Authorized Official
CONNER CHAN CEO MD
Enumeration Date
14 May 2007
Last Update Date
12 May 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for BAYTOWN DERMATOLOGY, P.A.

  • 3730 EMMETT HUTTO BLVD

    BAYTOWN, TX 775211764

    Phone: (281) 425-9375

    Fax: (281) 427-4584

    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: 2004-01-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-09-30 (256 days ago).

Enrollment records

1

Earliest due date

2025-09-30

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
O20040122001157OClinic/Group PracticeTX2025-09-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 77521)

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Reviews

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Frequently asked questions

What identifier follows BAYTOWN DERMATOLOGY, P.A. across health systems?
The NPI 1033325550 uniquely identifies BAYTOWN DERMATOLOGY, P.A. in U.S. healthcare data.
Is BAYTOWN DERMATOLOGY, P.A.'s NPI status active today?
Active status means BAYTOWN DERMATOLOGY, P.A.'s NPI record is not deactivated in the public file.
How should patients interpret BAYTOWN DERMATOLOGY, P.A.'s specialty?
The extract shows Dermatology Physician for BAYTOWN DERMATOLOGY, P.A.. Clinical services aligned with this taxonomy classification.
Which community is linked to BAYTOWN DERMATOLOGY, P.A.?
BAYTOWN DERMATOLOGY, P.A. shows a connection to Baytown, Texas in registry-derived data.
Why is information missing for BAYTOWN DERMATOLOGY, P.A.?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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