KATY DERMATOLOGY, P.A.
NPI 1346446051
Specialist in Katy, TX
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
Specialties & Licenses
Other Identifiers 5
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)
Katy Dermatology, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
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
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Katy Dermatology, P.A., which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 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 Waiver 45D2337056
Katy Dermatology · Katy, 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 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.
Is Katy Dermatology, P.A. enrolled in Medicare?
Yes. Katy Dermatology, P.A. is registered in the Medicare PECOS enrollment system.
When is Katy Dermatology, P.A.'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 October 31, 2026. 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 Katy Dermatology, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Dermatology, reassign their Medicare billing to Katy Dermatology, P.A.. 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, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 16 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.
# Katy Dermatology, P.a. · NPI 1346446051
Specialist organization in Katy, Texas. Organization record, active in the CMS NPPES registry since June 21, 2007.
## Identity
- **NPI:** 1346446051 (Entity type: Organization)
- **Enumerated:** June 21, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Adam Czelusta, OWNER
## Practice location
- **Address:** 21310 PROVINCIAL BLVD, Katy, TX 77450-7580
- **Phone:** (281) 599-0404 · **Fax:** (281) 599-1655
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 7 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 4 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 21, 2010
- **Other identifiers:** Other 0074LM (TX); Other 4516713 (TX); Medicaid 168278301 (TX); and 2 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1346446051) · Data from the CMS NPPES public registry.