VIVIAN W BUCAY MD PLLC
NPI 1285884759
Dermatology in San Antonio, TX
About Vivian W Bucay Md Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIVIAN W BUCAY MD PLLC (NPI 1285884759) is a healthcare organization registered as a dermatology in San Antonio, Texas and active in the NPI registry since September 2008. The organization holds a CLIA Waiver certificate valid through November 7, 2027 and lists Kimberly Dawn Freehauf, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Vivian W Bucay Md Pllc 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.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Vivian W Bucay MD PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 Waiver 45D2174815
Vivian W Bucay MD PLLC · 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 Vivian W Bucay MD PLLC's NPI number?
The NPI number for Vivian W Bucay MD PLLC is 1285884759. It was assigned to this organization in the NPPES registry on September 22, 2008.
Where is Vivian W Bucay MD PLLC located?
Vivian W Bucay MD PLLC is located at 326 W Craig Pl, San Antonio, TX 78212. The listed phone number is (210) 692-3000.
What is Vivian W Bucay MD PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Vivian W Bucay MD PLLC enrolled in Medicare?
Yes. Vivian W Bucay MD PLLC is registered in the Medicare PECOS enrollment system.
When is Vivian W Bucay MD PLLC'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 Vivian W Bucay MD PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Dermatology, reassign their Medicare billing to Vivian W Bucay MD 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Vivian W Bucay MD PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2174815) is associated with this NPI, valid through November 7, 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 Vivian W Bucay MD PLLC was last updated on August 23, 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.
# Vivian W Bucay Md Pllc · NPI 1285884759
Dermatology organization in San Antonio, Texas. Organization record, active in the CMS NPPES registry since September 22, 2008.
## Identity
- **NPI:** 1285884759 (Entity type: Organization)
- **Enumerated:** September 22, 2008
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Kimberly Freehauf, CFO
## Practice location
- **Address:** 326 W CRAIG PL, San Antonio, TX 78212-3307
- **Phone:** (210) 692-3000 · **Fax:** (210) 692-3056
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 23, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1285884759) · Data from the CMS NPPES public registry.