MICHAEL T TETZLAFF MD, PHD
NPI 1053478990
Pathology - Dermatopathology in Houstion, TX

Q: What is Michael Tetzlaff's NPI number?

The NPI number for Michael Tetzlaff is 1053478990. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Q: What is Michael Tetzlaff's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

Q: When was this NPI record last updated?

The NPPES record for Michael Tetzlaff was last updated on April 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 02, 2007PECOS Enrolled

1515 HOLCOMBE BLVD, HOUSTION, TX 77030(713) 792-6161 Get Directions Write a Review

NPPES record last updated: April 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Michael T Tetzlaff Md, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL T TETZLAFF MD, PHD (NPI 1053478990) is an individual dermatopathology provider in Houstion, Texas, licensed in Texas (N6711) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053478990

Entity TypeIndividualMale

Primary Taxonomy207ZD0900X

Provider Legal NameMICHAEL T TETZLAFFCredential: MD, PHD

Location Address1515 HOLCOMBE BLVDHoustion, TX 77030-4009

Mailing AddressPo Box 4439Houston, TX 77210-4439 · (713) 792-2991

Phone(713) 792-6161

Sole ProprietorNo

Enumeration DateJanuary 2, 2007

Last NPPES UpdateApril 10, 2020

NPPES CertifiedApril 10, 2020

✔ NPI 1053478990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · DermatopathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZD0900X

License✔ Licensed in TX · N6711

Definition

A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.

Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License MT185963 (PA)

1515 HOLCOMBE BLVD, Houstion, TX 77030

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Other Identifiers 3

OtherP00881574TX · Rrmedicare

Medicaid214426301TX

Other8CL001TX · Bcbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael T Tetzlaff Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.