KELLEY EUBANK DERMATOLOGY PLLC
NPI 1033772132
Dermatology in Houston, TX
About Kelley Eubank Dermatology Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLEY EUBANK DERMATOLOGY PLLC (NPI 1033772132) is a healthcare organization registered as a dermatology in Houston, Texas and active in the NPI registry since April 2019. The organization lists Kelley Eubank, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelley Eubank Dermatology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kelley Eubank Dermatology PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelley Eubank Dermatology PLLC's NPI number?
The NPI number for Kelley Eubank Dermatology PLLC is 1033772132. It was assigned to this organization in the NPPES registry on April 16, 2019.
Where is Kelley Eubank Dermatology PLLC located?
Kelley Eubank Dermatology PLLC is located at 5252 Westchester St Ste 242, Houston, TX 77005. The listed phone number is (713) 568-0708.
What is Kelley Eubank Dermatology PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Kelley Eubank Dermatology PLLC enrolled in Medicare?
Yes. Kelley Eubank Dermatology PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kelley Eubank Dermatology PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Kelley Eubank Dermatology PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kelley Eubank Dermatology PLLC was last updated on May 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.