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AVIVA DERMATOLOGY
NPI 1730668567
Dermatology in Houston, TX

Active since August 13, 2018CLIA 45D1073487 · Microscopy
915 GESSNER RD STE 500, HOUSTON, TX 77024(713) 468-0303(713) 468-0307 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 4, 2023, Sep 30, 2020, Aug 13, 2018 (3 updates tracked since 2018).

About Aviva Dermatology NPPES

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

AVIVA DERMATOLOGY (NPI 1730668567) is a healthcare organization registered as a dermatology in Houston, Texas and active in the NPI registry since August 2018. The organization holds a CLIA Microscopy certificate valid through September 10, 2027 and lists Simone Suzette Stalling, Manager, as its authorized official.

NPPES Registry Identity

NPI1730668567
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSIMONE STALLING MD PHD PLLC
Location Address915 GESSNER RD STE 500Houston, TX 77024-2568
Mailing Address915 Gessner Rd Ste 500Houston, TX 77024-2568 · (713) 468-0303
Phone(713) 468-0303
Fax(713) 468-0307
Organization SubpartNo
Authorized OfficialSimone Suzette StallingManager · (713) 468-0303
Enumeration DateAugust 13, 2018
Last NPPES UpdateJanuary 4, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2023
✔ NPI 1730668567 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.
915 GESSNER RD STE 500, Houston, TX 77024
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Other Names 1

Doing Business AsAviva Dermatology

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Aviva Dermatology, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Simone Stalling, MD
Dermatology
NPI 1922310911
915 GESSNER RD STE 500
Houston, TX 77024
(713) 468-0303
✔ PECOS✔ Accepts MedicareSame address
Rosannah Velasquez, M.D.
Dermatology
NPI 1700203676
915 GESSNER RD STE 500
Houston, TX 77024
(713) 468-0303
✔ PECOS✔ Accepts Medicare0.1 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

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) 45D1073487

Simone Stalling MD, Phd, PLLC · Houston, TX
Active · expires Sep 10, 2027
CLIA Number45D1073487
Laboratory TypePhysician Office
Certificate Effective DateSeptember 11, 2025
Certificate Expiration DateSeptember 10, 2027
Laboratory DirectorSimone S. Stalling
Laboratory Phone(713) 468-0303
Laboratory LocationSimone Stalling MD, Phd, PLLC915 Gessner Rd, Suite 500, Houston, TX 77024
CLIA data matches this NPI record on: Address 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 Simone Stalling MD Phd PLLC's NPI number?

The NPI number for Simone Stalling MD Phd PLLC is 1730668567. It was assigned to this organization in the NPPES registry on August 13, 2018. The provider is doing business as Aviva Dermatology.

Where is Simone Stalling MD Phd PLLC located?

Simone Stalling MD Phd PLLC is located at 915 Gessner Rd Ste 500, Houston, TX 77024. The listed phone number is (713) 468-0303.

What is Simone Stalling MD Phd PLLC's specialty?

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

Is Simone Stalling MD Phd PLLC enrolled in Medicare?

Yes. Simone Stalling MD Phd PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Simone Stalling MD Phd PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Simone Stalling MD Phd 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 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Simone Stalling MD Phd PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D1073487) is associated with this NPI, valid through September 10, 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 Simone Stalling MD Phd PLLC was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.