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PADRE DERMATOLOGY PLLC
NPI 1215302427
Dermatology in Corpus Christi, TX

Active since December 14, 2015CLIA 45D2118697 · Certificate of Compliance
14650 COMPASS ST STE 1, CORPUS CHRISTI, TX 78418(361) 867-1032(361) 867-1018 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 10, 2023, Dec 14, 2015 (2 updates tracked since 2015).

About Padre Dermatology Pllc NPPES

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

PADRE DERMATOLOGY PLLC (NPI 1215302427) is a healthcare organization registered as a dermatology in Corpus Christi, Texas and active in the NPI registry since December 2015. The organization holds a CLIA Certificate of Compliance certificate valid through August 30, 2027 and lists Ryan Travis Rogers, Owner, as its authorized official.

NPPES Registry Identity

NPI1215302427
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePADRE DERMATOLOGY PLLC
Location Address14650 COMPASS ST STE 1Corpus Christi, TX 78418-6237
Mailing AddressPo Box 6696Corpus Christi, TX 78466-6696 · (361) 985-1221 · Fax (361) 992-1667
Phone(361) 867-1032
Fax(361) 867-1018
Organization SubpartNo
Authorized OfficialRyan Travis RogersOwner · (361) 867-1032
Enumeration DateDecember 14, 2015
Last NPPES UpdateJanuary 10, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2023
✔ NPI 1215302427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TX · Q6096
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.
14650 COMPASS ST STE 1, Corpus Christi, TX 78418
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Padre Dermatology Pllc 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 Padre Dermatology PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ryan Rogers, MD
Dermatology
NPI 1396065470
14650 COMPASS ST STE 1
Corpus Christi, TX 78418
(361) 867-1032
✔ 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 45D2118697

Padre Dermatology PLLC · Corpus Christi, TX
Active · expires Aug 30, 2027
CLIA Number45D2118697
Laboratory TypePhysician Office
Certificate Effective DateAugust 31, 2025
Certificate Expiration DateAugust 30, 2027
Laboratory DirectorRyan T. Rogers
Laboratory Phone(361) 867-1032
Laboratory LocationPadre Dermatology PLLC14650 Compass St Ste 1, Corpus Christi, TX 78418
CLIA data matches this NPI record on: Address 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 Padre Dermatology PLLC's NPI number?

The NPI number for Padre Dermatology PLLC is 1215302427. It was assigned to this organization in the NPPES registry on December 14, 2015.

Where is Padre Dermatology PLLC located?

Padre Dermatology PLLC is located at 14650 Compass St Ste 1, Corpus Christi, TX 78418. The listed phone number is (361) 867-1032.

What is Padre Dermatology PLLC's specialty?

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

Is Padre Dermatology PLLC enrolled in Medicare?

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

How many clinicians bill Medicare through Padre Dermatology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Padre 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Padre Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D2118697) is associated with this NPI, valid through August 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Padre Dermatology PLLC was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.