SOUTHEAST TEXAS DERMATOLOGY
NPI 1770098261
Dermatology in Port Arthur, TX
About Southeast Texas Dermatology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEAST TEXAS DERMATOLOGY (NPI 1770098261) is a healthcare organization registered as a dermatology in Port Arthur, Texas and active in the NPI registry since December 2017. The organization maintains a secondary practice location in Victoria and lists Amit Patel, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 2
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)
Southeast Texas Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Southeast Texas Dermatology, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Corium Ventures PLLC's NPI number?
The NPI number for Corium Ventures PLLC is 1770098261. It was assigned to this organization in the NPPES registry on December 6, 2017. The provider is doing business as Southeast Texas Dermatology.
Where is Corium Ventures PLLC located?
Corium Ventures PLLC is located at 8525 9th Ave, Port Arthur, TX 77642. The listed phone number is (409) 729-2262.
What is Corium Ventures PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Corium Ventures PLLC enrolled in Medicare?
Yes. Corium Ventures PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Corium Ventures PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Corium Ventures 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Corium Ventures PLLC was last updated on December 6, 2022. 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.