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ELITE DERMATOLOGY, PLLC
NPI 1104337526
Dermatology in Katy, TX

Active since October 12, 2017CLIA Certified · 3 labs
4603 FM 1463 RD STE 100, KATY, TX 77494(281) 612-0050(281) 612-0051 Get Directions Write a Review

NPPES record last updated: October 12, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Elite Dermatology, Pllc NPPES

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

ELITE DERMATOLOGY, PLLC (NPI 1104337526) is a healthcare organization registered as a dermatology in Katy, Texas and active in the NPI registry since October 2017. The organization holds 3 active CLIA laboratory certificates and lists Connie Wang, Md, as its authorized official.

NPPES Registry Identity

NPI1104337526
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameELITE DERMATOLOGY, PLLC
Location Address4603 FM 1463 RD STE 100Katy, TX 77494-6545
Mailing Address4603 Fm 1463 Rd Ste 100Katy, TX 77494-6545
Phone(281) 612-0050
Fax(281) 612-0051
Organization SubpartNo
Authorized OfficialConnie WangMd · (281) 612-0050
Enumeration DateOctober 12, 2017
✔ NPI 1104337526 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.
4603 FM 1463 RD STE 100, Katy, TX 77494
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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)

Elite Dermatology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

27

Medicare enrollment records show 27 clinicians reassign Medicare billing to Elite Dermatology, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Dermatology23
Micrographic Dermatologic Surgery (MDS)1
Nurse Practitioner1
Otolaryngology1
Pathology1

Nearest to this location (20)

See all 27
Connie Wang, M.D.
Dermatology
NPI 1003250457
4603 FM 1463 RD STE 100
Katy, TX 77494
(281) 612-0050
✔ PECOS✔ Accepts MedicareSame address
Danielle Applebaum
Dermatology
NPI 1073931812
4603 FM 1463 RD STE 100
Katy, TX 77494
(281) 612-0050
✔ PECOS✔ Accepts MedicareSame address
Trissa Connors, MD
Dermatology
NPI 1568968634
4603 FM 1463 RD STE 100
Katy, TX 77494
(281) 612-0050
✔ PECOS✔ Accepts MedicareSame address
Sarah Kesaria, MD
Dermatology
NPI 1104555226
27131 FULSHEAR BEND DR
Fulshear, TX 77441
(281) 612-0050
✔ PECOS✔ Accepts Medicare1.0 mi
Yasmin Khalfe, MD
Dermatology
NPI 1740868314
27131 FULSHEAR BEND DR
Fulshear, TX 77441
(281) 612-0050
✔ PECOS✔ Accepts Medicare6.0 mi
Christina Kwon, MD
Dermatology
NPI 1619482213
27131 FULSHEAR BEND DR
Fulshear, TX 77441
(281) 612-0050
✔ PECOS✔ Accepts Medicare6.0 mi
Jacqueline Witt, MD
Dermatology
NPI 1811457567
27131 FULSHEAR BEND DR
Fulshear, TX 77441
(281) 612-0050
✔ PECOS✔ Accepts Medicare6.0 mi
Alissa Adler, MD
Dermatology
NPI 1710516497
1900 SAINT JAMES PL STE 600
Houston, TX 77056
(713) 850-0240
✔ PECOS✔ Accepts Medicare22 mi
Andrew Fischer, MD
Dermatology
NPI 1528453057
20326 STATE HIGHWAY 249 STE 400
Houston, TX 77070
(281) 612-0050
✔ PECOS✔ Accepts Medicare24 mi
Christopher Rizk, M.D.
Pathology
NPI 1134514979
20326 STATE HIGHWAY 249 STE 400
Houston, TX 77070
(281) 501-5599
✔ PECOS✔ Accepts Medicare24 mi
Jessica Boulavsky, MD
Dermatology
NPI 1508277468
20326 TX-249 SUITE 400
Houston, TX 77070
(281) 501-5599
✔ PECOS✔ Accepts Medicare24 mi
Muneeza Muhammad, M.D.
Dermatology
NPI 1578982203
20326 STATE HIGHWAY 249 STE 400
Houston, TX 77070
(281) 501-5599
✔ PECOS✔ Accepts Medicare24 mi
Andrew Armenta, MD
Dermatology
NPI 1932764263
4500 WASHINGTON AVE STE 250
Houston, TX 77007
(281) 857-6870
✔ PECOS✔ Accepts Medicare27 mi
Leon Chen, M.D.
Dermatology
NPI 1255745915
6655 TRAVIS ST STE 650
Houston, TX 77030
(469) 387-8060
✔ PECOS✔ Accepts Medicare27 mi
Carson Bogatto, MD
Dermatology
NPI 1851032809
2222 N SHEPHERD DR STE 102
Houston, TX 77008
(281) 501-5624
✔ PECOS✔ Accepts Medicare27 mi
Eleanor Workman
Dermatology
NPI 1639758998
2222 N SHEPHERD DR STE 102
Houston, TX 77008
(281) 501-5624
✔ PECOS✔ Accepts Medicare27 mi
Suzanne Alkul, MD
Micrographic Dermatologic Surgery (MDS)
NPI 1245723543
1977 BUTLER BLVD # E6.200
Houston, TX 77030
(713) 791-1414
✔ PECOS✔ Accepts Medicare27 mi
Adam Nguyen
Dermatology
NPI 1568817260
455 SCHOOL ST STE 49
Tomball, TX 77375
(281) 351-9823
✔ PECOS✔ Accepts Medicare28 mi
Whitney Latin, M.D.
Dermatology
NPI 1265882690
5125 PRESTON AVE # 150
Pasadena, TX 77505
(281) 991-0737
✔ PECOS✔ Accepts Medicare41 mi
Natasha Cangelosi, FNP-C
Nurse Practitioner
NPI 1083465629
4505 KINGWOOD DR STE 185
Kingwood, TX 77345
(281) 747-5534
✔ PECOS✔ Accepts Medicare46 mi
See all 27 clinicians

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 3

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 45D2141488

Elite Dermatology PLLC · Fulshear, TX
Active · expires Nov 9, 2027
CLIA Number45D2141488
Laboratory TypePhysician Office
Certificate Effective DateNovember 10, 2025
Certificate Expiration DateNovember 9, 2027
Laboratory DirectorSuzanne Alkul
Laboratory Phone(281) 612-0050
Laboratory LocationElite Dermatology PLLC27131 Fulshear Bend Dr, Fulshear, TX 77441
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 45D2279020

Elite Dermatology, PLLC · Houston, TX
Active · expires Oct 11, 2027
CLIA Number45D2279020
Laboratory TypePhysician Office
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorAndrew Fischer
Laboratory Phone(281) 612-0050
Laboratory LocationElite Dermatology, PLLC2437 South Blvd, Apt 16, Houston, TX 77098
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 45D2157394

Elite Dermatology PLLC · Kingwood, TX
Active · expires Feb 17, 2027
CLIA Number45D2157394
Laboratory TypePhysician Office
Certificate Effective DateFebruary 18, 2025
Certificate Expiration DateFebruary 17, 2027
Laboratory DirectorDr. Andrew Armenta
Laboratory Phone(281) 612-0050
Laboratory LocationElite Dermatology PLLC2702 Chestnut Ridge Rd, Kingwood, TX 77339
CLIA data matches this NPI record on: Name 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 Elite Dermatology, PLLC's NPI number?

The NPI number for Elite Dermatology, PLLC is 1104337526. It was assigned to this organization in the NPPES registry on October 12, 2017.

Where is Elite Dermatology, PLLC located?

Elite Dermatology, PLLC is located at 4603 Fm 1463 Rd Ste 100, Katy, TX 77494. The listed phone number is (281) 612-0050.

What is Elite Dermatology, PLLC's specialty?

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

Is Elite Dermatology, PLLC enrolled in Medicare?

Yes. Elite Dermatology, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Dermatology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 5 Medicare specialties reassign their Medicare billing to Elite 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. The largest specialties are Dermatology (23), Micrographic Dermatologic Surgery (MDS) (1) and Nurse Practitioner (1). Of these, 3 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Elite Dermatology, PLLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Elite Dermatology, PLLC was last updated on October 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.