Bayou City Dermatology – Dermatology Physician, NPI 1376014464
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Bayou City Dermatology
202 N TEXAS AVE STE 300
WEBSTER, TX 775984967
Phone: (346) 406-1846
Fax: (346) 406-1786
Type: Mailing
20320 Northwest Fwy Ste 700
Jersey Village, TX 770655645
Phone: (346) 437-0400
Fax: (346) 437-0404
Type: Location
3747 Westheimer Rd Ste A
Houston, TX 770275479
Phone: (346) 327-7990
Fax: (346) 327-8118
Type: Location
Binz Street, Houston, Harris County, Texas, 77004, United States
HOUSTON, TX 770048098
Phone: (346) 299-3376
Fax: (281) 809-6879
Type: Mailing
750 N TEXAS AVE STE 100
WEBSTER, TX 775984934
Phone: (346) 406-1846
Fax: (346) 406-1786
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: 2019-02-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-06-30 (709 days ago).
Enrollment records
1
Earliest due date
2024-06-30
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 |
|---|---|---|---|---|
| O20190218001137 | O | Clinic/Group Practice | TX | 2024-06-30 |
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.
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 77598)
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