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COCKERELL DERMATOLOGY CONSULTING SERVICES, PA
NPI 1083769467
Dermatology - Dermatopathology in Dallas, TX

Active since January 24, 2007CLIA 45D0988704 · Certificate of Compliance
2110 RESEARCH ROW, 100, DALLAS, TX 75235(214) 530-5200(214) 530-5230 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cockerell Dermatology Consulting Services, Pa NPPES

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

COCKERELL DERMATOLOGY CONSULTING SERVICES, PA (NPI 1083769467) is a healthcare organization registered as a dermatopathology in Dallas, Texas and active in the NPI registry since January 2007. The organization holds a CLIA Certificate of Compliance certificate valid through November 28, 2027 and lists Clay J Cockerell, President, as its authorized official.

NPPES Registry Identity

NPI1083769467
Entity TypeOrganization
Primary Taxonomy207ND0900X
Legal Business NameCOCKERELL DERMATOLOGY CONSULTING SERVICES, PA
Location Address2110 RESEARCH ROW, 100Dallas, TX 75235-2520
Mailing AddressPo Box 673596Dallas, TX 75267-3596 · (817) 379-5381
Phone(214) 530-5200
Fax(214) 530-5230
Organization SubpartNo
Authorized OfficialClay J CockerellPresident · (214) 530-5200
Enumeration DateJanuary 24, 2007
Last NPPES UpdateJanuary 12, 2026
NPPES CertifiedJanuary 12, 2026
✔ NPI 1083769467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
License✔ Licensed in TX · F9311
Definition
A dermatopathologist has the expertise to diagnose and monitor 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 routine and special (electron and fluorescent) microscopes.
2110 RESEARCH ROW, Dallas, TX 75235
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Other Identifiers 3

Medicaid127246001AR
Other60RQTX · Blue Cross
Medicaid137371406TX

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cockerell Dermatology Consulting Services, Pa 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 Cockerell Dermatology Consulting Services, PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clay Cockerell, MD
Dermatology
NPI 1235119298
2110 RESEARCH ROW SUITE 100
Dallas, TX 75235
(214) 530-5200
✔ 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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 45D0988704

Cockerell Dermatology Consultation Services, PA · Dallas, TX
Active · expires Nov 28, 2027
CLIA Number45D0988704
Laboratory TypeConsulting Services
Certificate Effective DateNovember 29, 2025
Certificate Expiration DateNovember 28, 2027
Laboratory DirectorClay J. Cockerell
Laboratory Phone(214) 530-5200
Laboratory LocationCockerell Dermatology Consultation Services, PA2110 Research Row, Suite 101, Dallas, TX 75235
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Cockerell Dermatology Consulting Services, PA's NPI number?

The NPI number for Cockerell Dermatology Consulting Services, PA is 1083769467. It was assigned to this organization in the NPPES registry on January 24, 2007.

Where is Cockerell Dermatology Consulting Services, PA located?

Cockerell Dermatology Consulting Services, PA is located at 2110 Research Row 100, Dallas, TX 75235. The listed phone number is (214) 530-5200.

What is Cockerell Dermatology Consulting Services, PA's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Is Cockerell Dermatology Consulting Services, PA enrolled in Medicare?

Yes. Cockerell Dermatology Consulting Services, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cockerell Dermatology Consulting Services, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Cockerell Dermatology Consulting Services, PA. 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.

Does Cockerell Dermatology Consulting Services, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D0988704) is associated with this NPI, valid through November 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cockerell Dermatology Consulting Services, PA accept?

Health plans from Molina Healthcare list Cockerell Dermatology Consulting Services, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cockerell Dermatology Consulting Services, PA was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.