KEY DERMATOLOGY PLLC
NPI 1629565544
Dermatology in Fort Worth, TX
About Key Dermatology Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEY DERMATOLOGY PLLC (NPI 1629565544) is a healthcare organization registered as a dermatology in Fort Worth, Texas and active in the NPI registry since April 2018. The organization holds a CLIA Microscopy certificate valid through August 13, 2028 and lists Julie Nguyen, Owner, 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)
Key Dermatology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Key Dermatology PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Fort Worth, TX 76244
Fort Worth, TX 76244
Fort Worth, TX 76244
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) 45D2152640
Key Dermatology PLLC · Fort Worth, 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 Key Dermatology PLLC's NPI number?
The NPI number for Key Dermatology PLLC is 1629565544. It was assigned to this organization in the NPPES registry on April 16, 2018.
Where is Key Dermatology PLLC located?
Key Dermatology PLLC is located at 4949 Golden Triangle Blvd Ste 611, Fort Worth, TX 76244. The listed phone number is (817) 898-2188.
What is Key Dermatology PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Key Dermatology PLLC enrolled in Medicare?
Yes. Key Dermatology PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Key Dermatology PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to Key Dermatology PLLC. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Key Dermatology PLLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D2152640) is associated with this NPI, valid through August 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 Key Dermatology PLLC was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Key Dermatology Pllc · NPI 1629565544
Dermatology organization in Fort Worth, Texas. Organization record, active in the CMS NPPES registry since April 16, 2018.
## Identity
- **NPI:** 1629565544 (Entity type: Organization)
- **Enumerated:** April 16, 2018
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Julie Nguyen, OWNER
## Practice location
- **Address:** 4949 GOLDEN TRIANGLE BLVD STE 611, Fort Worth, TX 76244-4456
- **Phone:** (817) 898-2188 · **Fax:** (817) 439-6055
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 26, 2024
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1629565544) · Data from the CMS NPPES public registry.