NORTHSTAR DERMATOLOGY, PA
NPI 1407176043
Dermatology in North Richland Hills, TX
About Northstar Dermatology, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHSTAR DERMATOLOGY, PA (NPI 1407176043) is a healthcare organization registered as a dermatology in North Richland Hills, Texas and active in the NPI registry since June 2010. The organization holds a CLIA Certificate of Compliance certificate valid through February 22, 2028, maintains a secondary practice location in North Richland Hills, and lists Sarah Tran, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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)
Northstar Dermatology, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 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
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Northstar Dermatology, PA, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
North Richland Hills, TX 76182
North Richland Hills, TX 76182
North Richland Hills, TX 76182
North Richland Hills, TX 76182
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 45D2016074
Northstar Dermatology, PA · North Richland Hills, 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 Northstar Dermatology, PA's NPI number?
The NPI number for Northstar Dermatology, PA is 1407176043. It was assigned to this organization in the NPPES registry on June 6, 2010.
Where is Northstar Dermatology, PA located?
Northstar Dermatology, PA is located at 8169 Precinct Line Rd Bldg 2, North Richland Hills, TX 76182. The listed phone number is (817) 427-3376.
What is Northstar Dermatology, PA's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Northstar Dermatology, PA enrolled in Medicare?
Yes. Northstar Dermatology, PA is registered in the Medicare PECOS enrollment system.
When is Northstar Dermatology, PA'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 November 30, 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 Northstar Dermatology, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Dermatology, reassign their Medicare billing to Northstar Dermatology, PA. 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, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Northstar Dermatology, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 45D2016074) is associated with this NPI, valid through February 22, 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 Northstar Dermatology, PA was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Northstar Dermatology, Pa · NPI 1407176043
Dermatology organization in North Richland Hills, Texas. Organization record, active in the CMS NPPES registry since June 6, 2010.
## Identity
- **NPI:** 1407176043 (Entity type: Organization)
- **Enumerated:** June 6, 2010
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Sarah Tran, OFFICE MANAGER
## Practice location
- **Address:** 8169 PRECINCT LINE RD BLDG 2, North Richland Hills, TX 76182-8607
- **Phone:** (817) 427-3376 · **Fax:** (817) 427-3379
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 29, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1407176043) · Data from the CMS NPPES public registry.