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BALCONES DERMATOLOGY ASSOCIATES, PA
NPI 1407855646
Dermatology in Austin, TX

Active since July 19, 2005CLIA 45D2039010 · Microscopy
8240 N MOPAC EXPY, STE 350, AUSTIN, TX 78759(512) 459-4869(512) 453-2795 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Balcones Dermatology Associates, Pa NPPES

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

BALCONES DERMATOLOGY ASSOCIATES, PA (NPI 1407855646) is a healthcare organization registered as a dermatology in Austin, Texas and active in the NPI registry since July 2005. The organization holds a CLIA Microscopy certificate valid through March 28, 2028 and lists Katherine K Farady, President, as its authorized official.

NPPES Registry Identity

NPI1407855646
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBALCONES DERMATOLOGY ASSOCIATES, PA
Location Address8240 N MOPAC EXPY, STE 350Austin, TX 78759-8840
Mailing Address8240 N Mopac Expy, Ste 350Austin, TX 78759-8840 · (512) 459-4869 · Fax (512) 453-2795
Phone(512) 459-4869
Fax(512) 453-2795
Organization SubpartNo
Authorized OfficialKatherine K FaradyPresident · (512) 459-4869
Enumeration DateJuly 19, 2005
Last NPPES UpdateJuly 21, 2022
✔ NPI 1407855646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
8240 N MOPAC EXPY, Austin, TX 78759
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Other Identifiers 2

Medicaid079816701TX
Other00083KTX · Bcbs

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 for Provider-Performed Microscopy Procedures (PPMP) 45D2039010

Balcones Dermatology Associates, PA · Austin, TX
Active · expires Mar 28, 2028
CLIA Number45D2039010
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2026
Certificate Expiration DateMarch 28, 2028
Laboratory DirectorDavid Bushore
Laboratory Phone(512) 459-4869
Laboratory LocationBalcones Dermatology Associates, PA7800 N Mopac Expwy, Suite 315, Austin, TX 78759
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 Balcones Dermatology Associates, PA's NPI number?

The NPI number for Balcones Dermatology Associates, PA is 1407855646. It was assigned to this organization in the NPPES registry on July 19, 2005.

Where is Balcones Dermatology Associates, PA located?

Balcones Dermatology Associates, PA is located at 8240 N Mopac Expy Ste 350, Austin, TX 78759. The listed phone number is (512) 459-4869.

What is Balcones Dermatology Associates, PA's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Balcones Dermatology Associates, PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D2039010) is associated with this NPI, valid through March 28, 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 Balcones Dermatology Associates, PA was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.