DERMATOLOGY SPECIALISTS OF SAN ANTONIO, PLLC
NPI 1275925869
Dermatology in San Antonio, TX
About Dermatology Specialists Of San Antonio, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERMATOLOGY SPECIALISTS OF SAN ANTONIO, PLLC (NPI 1275925869) is a healthcare organization registered as a dermatology in San Antonio, Texas and active in the NPI registry since February 2015. The organization holds a CLIA Certificate of Compliance certificate valid through August 1, 2028 and lists Nicole Marie Owens, Managing Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Group Practice 1
Accepted 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)
Dermatology Specialists Of San Antonio, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Dermatology Specialists Of San Antonio, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 45D2239532
Dermatology Specialists Of San Antonio · San Antonio, 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 Dermatology Specialists Of San Antonio, PLLC's NPI number?
The NPI number for Dermatology Specialists Of San Antonio, PLLC is 1275925869. It was assigned to this organization in the NPPES registry on February 19, 2015.
Where is Dermatology Specialists Of San Antonio, PLLC located?
Dermatology Specialists Of San Antonio, PLLC is located at 2520 Broadway St Ste 202, San Antonio, TX 78215. The listed phone number is (210) 541-4884.
What is Dermatology Specialists Of San Antonio, PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Dermatology Specialists Of San Antonio, PLLC enrolled in Medicare?
Yes. Dermatology Specialists Of San Antonio, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dermatology Specialists Of San Antonio, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Dermatology, reassign their Medicare billing to Dermatology Specialists Of San Antonio, 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dermatology Specialists Of San Antonio, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 45D2239532) is associated with this NPI, valid through August 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Dermatology Specialists Of San Antonio, PLLC accept?
Health plans from Harbor Health and WellPoint list Dermatology Specialists Of San Antonio, PLLC 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 Dermatology Specialists Of San Antonio, PLLC was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dermatology Specialists Of San Antonio, Pllc · NPI 1275925869
Dermatology organization in San Antonio, Texas. Organization record, active in the CMS NPPES registry since February 19, 2015.
## Identity
- **NPI:** 1275925869 (Entity type: Organization)
- **Enumerated:** February 19, 2015
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Nicole Owens, MANAGING OWNER
## Practice location
- **Address:** 2520 BROADWAY ST STE 202, San Antonio, TX 78215-1149
- **Phone:** (210) 541-4884 · **Fax:** (210) 541-4900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 19, 2022
- **Other identifiers:** Other H000R0R101 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1275925869) · Data from the CMS NPPES public registry.