TEXAS SURGICAL DERMATOLOGY PA
NPI 1124484456
Dermatology in Spring, TX
About Texas Surgical Dermatology Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TEXAS SURGICAL DERMATOLOGY PA (NPI 1124484456) is a healthcare organization registered as a dermatology in Spring, Texas and active in the NPI registry since December 2015. The organization lists Tri Nguyen, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
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)
Texas Surgical Dermatology Pa 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 Texas Surgical Dermatology PA, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 45D2118967
Texas Surgical Dermatology PA · Spring, TXFrequently 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 Texas Surgical Dermatology PA's NPI number?
The NPI number for Texas Surgical Dermatology PA is 1124484456. It was assigned to this organization in the NPPES registry on December 31, 2015.
Where is Texas Surgical Dermatology PA located?
Texas Surgical Dermatology PA is located at 21009 Kuykendahl Suite A, Spring, TX 77379. The listed phone number is (832) 643-8592.
What is Texas Surgical Dermatology PA's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Texas Surgical Dermatology PA enrolled in Medicare?
Yes. Texas Surgical Dermatology PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Texas Surgical Dermatology PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Texas Surgical Dermatology PA, in Dermatology and Ophthalmology. 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, 3 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 Texas Surgical Dermatology PA was last updated on January 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Texas Surgical Dermatology Pa · NPI 1124484456
Dermatology organization in Spring, Texas. Organization record, active in the CMS NPPES registry since December 31, 2015.
## Identity
- **NPI:** 1124484456 (Entity type: Organization)
- **Enumerated:** December 31, 2015
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Tri Nguyen, MD
## Practice location
- **Address:** 21009 KUYKENDAHL, SUITE A, Spring, TX 77379-0000
- **Phone:** (832) 643-8592
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (2), Ophthalmology (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 5, 2016
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124484456) · Data from the CMS NPPES public registry.