CIBOLO CREEK DERMATOLOGY GROUP
NPI 1083118111
Dermatology in Boerne, TX
About Cibolo Creek Dermatology Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CIBOLO CREEK DERMATOLOGY GROUP (NPI 1083118111) is a healthcare organization registered as a dermatology in Boerne, Texas and active in the NPI registry since March 2018. The organization lists Mary Adair, Billing, 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)
Cibolo Creek Dermatology Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Cibolo Creek Dermatology Group, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
San Antonio, TX 78257
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 Cibolo Creek Dermatology Group's NPI number?
The NPI number for Cibolo Creek Dermatology Group is 1083118111. It was assigned to this organization in the NPPES registry on March 22, 2018.
Where is Cibolo Creek Dermatology Group located?
Cibolo Creek Dermatology Group is located at 120 Dietert Ave Bldg Ste 300, Boerne, TX 78006. The listed phone number is (830) 971-9151.
What is Cibolo Creek Dermatology Group's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Cibolo Creek Dermatology Group enrolled in Medicare?
Yes. Cibolo Creek Dermatology Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cibolo Creek Dermatology Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to Cibolo Creek Dermatology Group. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Cibolo Creek Dermatology Group was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.