1. Home
  2. Directory
  3. Texas
  4. Austin
  5. Dermatology
  6. NPI Profile

SANOVA DERMATOLOGY PLLC
NPI 1689957169
Dermatology in Austin, TX

Active since September 21, 2011CLIA Certified · 2 labs
12319 N MOPAC EXPY STE 100, AUSTIN, TX 78758(512) 837-3376(512) 837-3377 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 13, 2025, May 11, 2020, Mar 13, 2020 (3 updates tracked since 2020).

About Sanova Dermatology Pllc NPPES

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

SANOVA DERMATOLOGY PLLC (NPI 1689957169) is a healthcare organization registered as a dermatology in Austin, Texas and active in the NPI registry since September 2011. The organization holds 2 active CLIA laboratory certificates and lists Edward Lain, President/md, as its authorized official.

NPPES Registry Identity

NPI1689957169
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSANOVA DERMATOLOGY PLLC
Location Address12319 N MOPAC EXPY STE 100Austin, TX 78758-2486
Mailing AddressPo Box 746768Atlanta, GA 30374-6768 · (512) 837-3376 · Fax (512) 837-3377
Phone(512) 837-3376
Fax(512) 837-3377
Organization SubpartNo
Authorized OfficialEdward LainPresident/md · (512) 266-0007
Enumeration DateSeptember 21, 2011
Last NPPES UpdateJune 13, 20253 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
✔ NPI 1689957169 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.
12319 N MOPAC EXPY STE 100, Austin, TX 78758
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Harbor Health, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Sanova Dermatology PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Megan Shelton, MD
Dermatology
NPI 1265828362
12319 N MOPAC EXPY STE 100
Austin, TX 78758
(512) 837-3376
✔ PECOS✔ Accepts MedicareSame address
Ronald Harris, M.D.
Dermatology
NPI 1215033501
2319 N MOPAC EXPY STE 100
Austin, TX 78758
(512) 837-3376
✔ PECOS✔ Accepts Medicare2.3 mi
Elizabeth Foley, D.O.
Dermatology
NPI 1699166991
505 W LOUIS HENNA BLVD STE 200
Austin, TX 78728
(512) 533-9900
✔ PECOS✔ Accepts Medicare4.6 mi
Melanie Pickett, MD
Dermatology
NPI 1407274996
3705 MEDICAL PKWY STE 340
Austin, TX 78705
(512) 454-3781
✔ PECOS✔ Accepts Medicare8.0 mi
Daniel Carrasco, MD
Dermatology
NPI 1558345793
3705 MEDICAL PKWY STE 340
Austin, TX 78705
(512) 454-3781
✔ PECOS✔ Accepts Medicare8.0 mi
Candace Thrash, M.D.
Dermatology
NPI 1093764664
3705 MEDICAL PKWY STE 340
Austin, TX 78705
(512) 454-3781
✔ PECOS✔ Accepts Medicare8.0 mi
Jennifer Leininger Nicholson, M.D.
Dermatology
NPI 1922319912
425 UNIVERSITY BLVD
Round Rock, TX 78665
(512) 509-0200
✔ PECOS✔ Accepts Medicare9.9 mi
Jennifer Vickers, M.D.
Dermatology
NPI 1184859225
313 E 12TH ST STE 100
Austin, TX 78701
(512) 324-9650
✔ PECOS✔ Accepts Medicare10 mi
Edward Lain, M.D.
Dermatology
NPI 1124079306
5145 FM 620 N STE B-110
Austin, TX 78732
(512) 266-0007
✔ PECOS✔ Accepts Medicare11 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 2

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) 45D1058761

Sanova Dermatology-Steiner Ranch · Austin, TX
Active · expires Sep 14, 2028
CLIA Number45D1058761
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2026
Certificate Expiration DateSeptember 14, 2028
Laboratory DirectorEdward L. Lain
Laboratory Phone(512) 266-0007
Laboratory LocationSanova Dermatology-Steiner Ranch5145 N Fm 620, Suite B110, Austin, TX 78732
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.

Certificate of Compliance 45D2037209

Sanova Dermatology · Austin, TX
Active · expires Jul 14, 2028
CLIA Number45D2037209
Laboratory TypePhysician Office
Certificate Effective DateJuly 15, 2026
Certificate Expiration DateJuly 14, 2028
Laboratory DirectorMegan E. Shelton
Laboratory Phone(512) 837-3376
Laboratory LocationSanova Dermatology12319 N Mopac Expwy Bldg C Ste 100, Austin, TX 78758
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Sanova Dermatology PLLC's NPI number?

The NPI number for Sanova Dermatology PLLC is 1689957169. It was assigned to this organization in the NPPES registry on September 21, 2011.

Where is Sanova Dermatology PLLC located?

Sanova Dermatology PLLC is located at 12319 N Mopac Expy Ste 100, Austin, TX 78758. The listed phone number is (512) 837-3376.

What is Sanova Dermatology PLLC's specialty?

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

Is Sanova Dermatology PLLC enrolled in Medicare?

Yes. Sanova Dermatology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sanova Dermatology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Dermatology, reassign their Medicare billing to Sanova 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, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sanova Dermatology PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Sanova Dermatology PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas, Harbor Health, Moda Health Plan, Inc., Sendero Health Plans, Local Nonprofit and WellPoint list Sanova Dermatology PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sanova Dermatology PLLC was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.