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WESTOVER HILLS DERMATOLOGY
NPI 1366980047
Specialist in San Antonio, TX

Active since February 02, 2017CLIA 45D2133183 · Microscopy
11212 STATE HIGHWAY 151, MEDICAL PLAZA 1, SUITE 320, SAN ANTONIO, TX 78251(830) 276-2600(866) 886-2083 Get Directions Write a Review

NPPES record last updated: February 2, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Westover Hills Dermatology NPPES

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

WESTOVER HILLS DERMATOLOGY (NPI 1366980047) is a healthcare organization registered as a specialist in San Antonio, Texas and active in the NPI registry since February 2017. The organization holds a CLIA Microscopy certificate valid through July 6, 2027 and lists Mobolaji Opeola, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1366980047
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameWESTOVER HILLS DERMATOLOGY
Location Address11212 STATE HIGHWAY 151, MEDICAL PLAZA 1, SUITE 320San Antonio, TX 78251-4498
Mailing Address11212 State Highway 151, Medical Plaza 1, Suite 320San Antonio, TX 78251-4498 · (830) 276-2600 · Fax (866) 886-2083
Phone(830) 276-2600
Fax(866) 886-2083
Organization SubpartNo
Authorized OfficialMobolaji OpeolaManaging Member · (469) 644-0257
Enumeration DateFebruary 2, 2017
✔ NPI 1366980047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · M9555
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.
11212 STATE HIGHWAY 151, San Antonio, TX 78251
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Westover Hills Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Westover Hills Dermatology, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Mobolaji Opeola, M.D.
Dermatology
NPI 1578762563
9018 CULEBRA RD STE 104
San Antonio, TX 78251
(830) 276-2600
✔ PECOS✔ Accepts Medicare2.0 mi
Daniel Glade, MD
Dermatology
NPI 1821618430
5314 N 250 W STE 220
Provo, UT 84604
(801) 225-8484
✔ PECOS✔ Accepts Medicare1,045 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 45D2133183

Westover Hills Dermatology · San Antonio, TX
Active · expires Jul 6, 2027
CLIA Number45D2133183
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2025
Certificate Expiration DateJuly 6, 2027
Laboratory DirectorMobolaji Opeola
Laboratory Phone(830) 276-2600
Laboratory LocationWestover Hills Dermatology9018 Culebra Road, 104, San Antonio, TX 78251
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Westover Hills Dermatology's NPI number?

The NPI number for Westover Hills Dermatology is 1366980047. It was assigned to this organization in the NPPES registry on February 2, 2017.

Where is Westover Hills Dermatology located?

Westover Hills Dermatology is located at 11212 State Highway 151 Medical Plaza 1, Suite 320, San Antonio, TX 78251. The listed phone number is (830) 276-2600.

What is Westover Hills Dermatology's specialty?

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

Is Westover Hills Dermatology enrolled in Medicare?

Yes. Westover Hills Dermatology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Westover Hills Dermatology?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Westover Hills Dermatology. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Westover Hills Dermatology hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D2133183) is associated with this NPI, valid through July 6, 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 Westover Hills Dermatology was last updated on February 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.