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KATY DERMATOLOGY, P.A.
NPI 1346446051
Specialist in Katy, TX

Active since June 21, 2007CLIA 45D2337056 · Waiver
21310 PROVINCIAL BLVD, KATY, TX 77450(281) 599-0404(281) 599-1655 Get Directions Write a Review

NPPES record last updated: September 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katy Dermatology, P.a. NPPES

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

KATY DERMATOLOGY, P.A. (NPI 1346446051) is a healthcare organization registered as a specialist in Katy, Texas and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through January 13, 2028 and lists Adam J Czelusta, Owner, as its authorized official.

NPPES Registry Identity

NPI1346446051
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKATY DERMATOLOGY, P.A.
Location Address21310 PROVINCIAL BLVDKaty, TX 77450-7580
Mailing Address21310 Provincial BlvdKaty, TX 77450-7580 · (281) 599-0404 · Fax (281) 599-1655
Phone(281) 599-0404
Fax(281) 599-1655
Organization SubpartNo
Authorized OfficialAdam J CzelustaOwner · (281) 599-0404
Enumeration DateJune 21, 2007
Last NPPES UpdateSeptember 21, 2010
✔ NPI 1346446051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · L5711
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
21310 PROVINCIAL BLVD, Katy, TX 77450
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Other Identifiers 5

Other0074LMTX · Bcbs
Other4516713TX · Cigna
Medicaid168278301TX
Medicare ID-Type Unspecified00927WTX
Medicare PINDC8998TX

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

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 45D2337056

Katy Dermatology · Katy, TX
Active · expires Jan 13, 2028
CLIA Number45D2337056
Laboratory TypePhysician Office
Certificate Effective DateJanuary 14, 2026
Certificate Expiration DateJanuary 13, 2028
Laboratory DirectorSamantha Carter
Laboratory Phone(281) 599-0404
Laboratory LocationKaty Dermatology21310 Provincial Blvd, Katy, TX 77450
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ADAM J CZELUSTA MD
Dermatology
21310 PROVINCIAL BLVD
KATY, TX 77450
Harris County (281) 599-0404
SAMANTHA EMILY CARTER M.D.
Specialist
21310 PROVINCIAL BLVD
KATY, TX 77450
Harris County (281) 599-0404
DR. SANA HASHMI ZAHIRUDDIN M.D.
Dermatology
21310 PROVINCIAL BLVD
KATY, TX 77450
Harris County (281) 599-0404
DAVID JOSEPH UPTMORE JR. MD
Dermatology
21310 PROVINCIAL BLVD, SUITE 395
KATY, TX 77450
Harris County (281) 599-0404

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 Katy Dermatology, P.A.'s NPI number?

The NPI number for Katy Dermatology, P.A. is 1346446051. It was assigned to this organization in the NPPES registry on June 21, 2007.

Where is Katy Dermatology, P.A. located?

Katy Dermatology, P.A. is located at 21310 Provincial Blvd, Katy, TX 77450. The listed phone number is (281) 599-0404.

What is Katy Dermatology, P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Katy Dermatology, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2337056) is associated with this NPI, valid through January 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Katy Dermatology, P.A. was last updated on September 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.