KELLEY EUBANK DERMATOLOGY PLLC
NPI 1033772132
Dermatology in Houston, TX

Active since April 16, 2019
5252 WESTCHESTER ST STE 242, HOUSTON, TX 77005(713) 568-0708(713) 568-0709 Get Directions Write a Review

NPPES record last updated: May 31, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 31, 2019, Apr 16, 2019 (2 updates tracked since 2019).

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

NPI1033772132
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameKELLEY EUBANK DERMATOLOGY PLLC
Location Address5252 WESTCHESTER ST STE 242Houston, TX 77005-4141
Mailing Address3704 Plumb StHouston, TX 77005-2810
Fax(713) 568-0709
Organization SubpartNo
Authorized OfficialKelley EubankOwner · (713) 568-0708
Enumeration DateApril 16, 2019
Last NPPES UpdateMay 31, 20192 updates tracked since enumeration
✔ NPI 1033772132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
5252 WESTCHESTER ST STE 242, Houston, TX 77005

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Dermatology
NPI 1083888119
5252 WESTCHESTER ST STE 242
Houston, TX 77005
(713) 568-0708
✔ PECOS✔ Accepts MedicareSame address

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.