GALVESTON DERMATOLOGY, P.A.
NPI 1104091487
Dermatology in Galveston, TX

Active since April 28, 2008
1501 BROADWAY AVE, GALVESTON, TX 77550(409) 763-2452(409) 763-2458 Get Directions Write a Review

NPPES record last updated: July 28, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Galveston Dermatology, P.a. NPPES

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

GALVESTON DERMATOLOGY, P.A. (NPI 1104091487) is a healthcare organization registered as a dermatology in Galveston, Texas and active in the NPI registry since April 2008. The organization lists Ramon L Sanchez, President, as its authorized official.

NPPES Registry Identity

NPI1104091487
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameGALVESTON DERMATOLOGY, P.A.
Location Address1501 BROADWAY AVEGalveston, TX 77550
Mailing Address1501 BroadwayGalveston, TX 77550 · (409) 763-2452 · Fax (409) 763-2458
Fax(409) 763-2458
Organization SubpartNo
Authorized OfficialRamon L SanchezPresident · (409) 763-2452
Enumeration DateApril 28, 2008
Last NPPES UpdateJuly 28, 2008
✔ NPI 1104091487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TX · G4701
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.
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License G4701 (TX)
1501 BROADWAY AVE, Galveston, TX 77550

Other Identifiers 4

Other070012339TX · Railroad Medicare
Medicare PIN00221KTX
Other00221KTX · Bcbs
Medicaid080178901TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Galveston Dermatology, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20071024000108Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Galveston Dermatology, P.A., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Dermatology
NPI 1366556193
1501 BROADWAY ST
Galveston, TX 77550
(409) 763-2452
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1598956781
13938 HIGHWAY 3 UNIT 100
Webster, TX 77598
(281) 332-9681
✔ PECOS✔ Accepts Medicare26 mi
Dermatology
NPI 1467711564
6560 FANNIN ST STE 1112
Houston, TX 77030
(281) 426-0909
✔ PECOS✔ Accepts Medicare47 mi

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 Galveston Dermatology, P.A.'s NPI number?

The NPI number for Galveston Dermatology, P.A. is 1104091487. It was assigned to this organization in the NPPES registry on April 28, 2008.

Where is Galveston Dermatology, P.A. located?

Galveston Dermatology, P.A. is located at 1501 Broadway Ave, Galveston, TX 77550. The listed phone number is (409) 763-2452.

What is Galveston Dermatology, P.A.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Galveston Dermatology, P.A. enrolled in Medicare?

Yes. Galveston Dermatology, P.A. is registered in the Medicare PECOS enrollment system.

When is Galveston Dermatology, P.A.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Galveston Dermatology, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to Galveston Dermatology, P.A.. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Galveston Dermatology, P.A. accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Galveston Dermatology, P.A. 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 Galveston Dermatology, P.A. was last updated on July 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.