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ADVANCED DERMATOLOGIC SURGERY PA
NPI 1710028295
Dermatology - MOHS-Micrographic Surgery in Houston, TX

Active since February 09, 2007
1213 HERMANN DR, SUITE #650, HOUSTON, TX 77004(713) 528-8882(713) 528-8883 Get Directions Write a Review

NPPES record last updated: November 13, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Advanced Dermatologic Surgery Pa NPPES

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

ADVANCED DERMATOLOGIC SURGERY PA (NPI 1710028295) is a healthcare organization registered as a mohs-micrographic surgery in Houston, Texas and active in the NPI registry since February 2007. The organization lists Lawrence L Anderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1710028295
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameADVANCED DERMATOLOGIC SURGERY PA
Location Address1213 HERMANN DR, SUITE #650Houston, TX 77004-7018
Mailing Address5310 Harvest Hill Rd Suite 290Dallas, TX 75320-5826 · (214) 420-0650 · Fax (214) 736-0512
Phone(713) 528-8882
Fax(713) 528-8883
Organization SubpartNo
Authorized OfficialLawrence L AndersonOwner · (214) 420-0650
Enumeration DateFebruary 9, 2007
Last NPPES UpdateNovember 13, 2019
✔ NPI 1710028295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in TX · M6002
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatologyTaxonomy 207N00000X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
1213 HERMANN DR, Houston, TX 77004
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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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Dermatologic Surgery Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Advanced Dermatologic Surgery PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Juan Pinto Cuberos, MD
Micrographic Dermatologic Surgery (MDS)
NPI 1699254045
1213 HERMANN DR STE 650
Houston, TX 77004
(713) 528-8882
✔ PECOS✔ Accepts MedicareSame address
Mark Price, MD
Dermatology
NPI 1104985407
1213 HERMANN DR SUITE 650
Houston, TX 77004
(713) 528-8882
✔ PECOS✔ Accepts MedicareSame address
Leon Chen, M.D.
Dermatology
NPI 1255745915
6655 TRAVIS ST STE 650
Houston, TX 77030
(469) 387-8060
✔ PECOS✔ Accepts Medicare1.3 mi
Jennifer Holman, MD
Dermatology
NPI 1447354626
1367 DOMINION PLZ
Tyler, TX 75703
(903) 534-6200
✔ PECOS✔ Accepts Medicare177 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Advanced Dermatologic Surgery PA's NPI number?

The NPI number for Advanced Dermatologic Surgery PA is 1710028295. It was assigned to this organization in the NPPES registry on February 9, 2007.

Where is Advanced Dermatologic Surgery PA located?

Advanced Dermatologic Surgery PA is located at 1213 Hermann Dr Suite #650, Houston, TX 77004. The listed phone number is (713) 528-8882.

What is Advanced Dermatologic Surgery PA's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Advanced Dermatologic Surgery PA enrolled in Medicare?

Yes. Advanced Dermatologic Surgery PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Dermatologic Surgery PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Advanced Dermatologic Surgery 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. The largest specialties are Dermatology (3) and Micrographic Dermatologic Surgery (MDS) (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Dermatologic Surgery PA was last updated on November 13, 2019. 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.