WESTSIDE DERMATOLOGY CLINIC , PA.
NPI 1629115316
Specialist in Katy, TX
About Westside Dermatology Clinic , Pa. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WESTSIDE DERMATOLOGY CLINIC , PA. (NPI 1629115316) is a healthcare organization registered as a specialist in Katy, Texas and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through January 11, 2027 and lists Paul Subrt, Owner President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Westside Dermatology Clinic , Pa. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Westside Dermatology Clinic , PA., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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) 45D0495598
Westside Dermatology Clinic, PA Paul Subrt, MD · 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 Westside Dermatology Clinic , PA.'s NPI number?
The NPI number for Westside Dermatology Clinic , PA. is 1629115316. It was assigned to this organization in the NPPES registry on January 31, 2007.
Where is Westside Dermatology Clinic , PA. located?
Westside Dermatology Clinic , PA. is located at 1331 West Grand Parkway North Suie 370, Katy, TX 77493. The listed phone number is (281) 392-1177.
What is Westside Dermatology Clinic , PA.'s specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Westside Dermatology Clinic , PA. enrolled in Medicare?
Yes. Westside Dermatology Clinic , PA. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Westside Dermatology Clinic , PA.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Westside Dermatology Clinic , 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Westside Dermatology Clinic , PA. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0495598) is associated with this NPI, valid through January 11, 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 Westside Dermatology Clinic , PA. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Westside Dermatology Clinic , Pa. · NPI 1629115316
Specialist organization in Katy, Texas. Organization record, active in the CMS NPPES registry since January 31, 2007.
## Identity
- **NPI:** 1629115316 (Entity type: Organization)
- **Enumerated:** January 31, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Paul Subrt, OWNER PRESIDENT
## Practice location
- **Address:** 1331 WEST GRAND PARKWAY NORTH, SUIE 370, Katy, TX 77493
- **Phone:** (281) 392-1177 · **Fax:** (281) 392-1125
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629115316) · Data from the CMS NPPES public registry.