RADIANT DERMATOLOGY AND AESTHETICS PLLC
NPI 1760843494
Dermatology in Kingwood, TX
About Radiant Dermatology And Aesthetics Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RADIANT DERMATOLOGY AND AESTHETICS PLLC (NPI 1760843494) is a healthcare organization registered as a dermatology in Kingwood, Texas and active in the NPI registry since March 2016. The organization holds 2 active CLIA laboratory certificates and lists Liet N Le, 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)
Radiant Dermatology And Aesthetics Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Radiant Dermatology And Aesthetics PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (13)
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 of Compliance 45D2114693
Radiant Dermatology And Aesthetics PLLC · Kingwood, TXCertificate of Compliance 45D2218613
Radiant Dermatology & Aesthetics PLLC · Humble, 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 Radiant Dermatology And Aesthetics PLLC's NPI number?
The NPI number for Radiant Dermatology And Aesthetics PLLC is 1760843494. It was assigned to this organization in the NPPES registry on March 8, 2016.
Where is Radiant Dermatology And Aesthetics PLLC located?
Radiant Dermatology And Aesthetics PLLC is located at 22659 Highway 59 N Suite 140, Kingwood, TX 77339. The listed phone number is (281) 973-4159.
What is Radiant Dermatology And Aesthetics PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Radiant Dermatology And Aesthetics PLLC enrolled in Medicare?
Yes. Radiant Dermatology And Aesthetics PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Radiant Dermatology And Aesthetics PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 2 Medicare specialties reassign their Medicare billing to Radiant Dermatology And Aesthetics 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. The largest specialties are Dermatology (12) and Nurse Practitioner (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Radiant Dermatology And Aesthetics 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.
When was this NPI record last updated?
The NPPES record for Radiant Dermatology And Aesthetics PLLC was last updated on March 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Radiant Dermatology And Aesthetics Pllc · NPI 1760843494
Dermatology organization in Kingwood, Texas. Organization record, active in the CMS NPPES registry since March 8, 2016.
## Identity
- **NPI:** 1760843494 (Entity type: Organization)
- **Enumerated:** March 8, 2016
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Liet Le, OWNER
## Practice location
- **Address:** 22659 HIGHWAY 59 N, SUITE 140, Kingwood, TX 77339-4406
- **Phone:** (281) 973-4159 · **Fax:** (281) 973-2359
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (12), Nurse Practitioner (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 9, 2016
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1760843494) · Data from the CMS NPPES public registry.