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CINCO RANCH DERMATOLOGY
NPI 1780926733
Dermatology in Katy, TX

Active since March 17, 2013CLIA 45D2066539 · Microscopy
23050 WESTHEIMER PKWY, KATY, TX 77494(281) 394-9500(281) 394-5350 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cinco Ranch Dermatology NPPES

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

CINCO RANCH DERMATOLOGY (NPI 1780926733) is a healthcare organization registered as a dermatology in Katy, Texas and active in the NPI registry since March 2013. The organization holds a CLIA Microscopy certificate valid through September 26, 2027 and lists Kelly B Conner, Owner / Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1780926733
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCINCO RANCH DERMATOLOGY, P.A.
Location Address23050 WESTHEIMER PKWYKaty, TX 77494-3596
Mailing Address23050 Westheimer PkwyKaty, TX 77494-3596 · (281) 394-9500 · Fax (281) 394-5350
Phone(281) 394-9500
Fax(281) 394-5350
Organization SubpartNo
Authorized OfficialKelly B ConnerOwner / Authorized Official · (281) 394-9500
Enumeration DateMarch 17, 2013
Last NPPES UpdateMay 6, 2021
NPPES CertifiedMay 6, 2021
✔ NPI 1780926733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TX · P4855
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.
23050 WESTHEIMER PKWY, Katy, TX 77494
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Other Names 1

Doing Business AsCinco Ranch Dermatology

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Cinco Ranch Dermatology, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Kelly Conner, M.D.
Dermatology
NPI 1801039722
23050 WESTHEIMER PKWY
Katy, TX 77494
(281) 394-9500
✔ PECOS✔ Accepts MedicareSame address
Rani Cooper, M.D.
Dermatology
NPI 1285839084
23050 WESTHEIMER PKWY
Katy, TX 77494
(281) 394-9500
✔ PECOS✔ Accepts MedicareSame address
Hoang Ho Pham, MD
Dermatology
NPI 1033615638
23050 WESTHEIMER PKWY
Katy, TX 77494
(504) 810-0794
✔ PECOS✔ Accepts MedicareSame address
Hannah Dakin, MD
Dermatology
NPI 1306425277
23050 WESTHEIMER PKWY
Katy, TX 77494
(281) 394-9500
✔ PECOS✔ Accepts MedicareSame address
Amy Zhang, MD
Dermatology
NPI 1649733734
23050 WESTHEIMER PKWY
Katy, TX 77494
(281) 394-9500
✔ PECOS✔ Accepts MedicareSame address
Natalie Hone Romero, M.D.
Dermatology
NPI 1184065690
4545 BISSONNET ST STE 200
Bellaire, TX 77401
(281) 456-4900
✔ PECOS✔ Accepts Medicare19 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) 45D2066539

Cinco Ranch Dermatology, PA · Katy, TX
Active · expires Sep 26, 2027
CLIA Number45D2066539
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2025
Certificate Expiration DateSeptember 26, 2027
Laboratory DirectorKelly B. Conner
Laboratory Phone(281) 891-3690
Laboratory LocationCinco Ranch Dermatology, PA23050 Westheimer Pkwy, Katy, TX 77494
CLIA data matches this NPI record on: Address Name
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 Cinco Ranch Dermatology, P.A.'s NPI number?

The NPI number for Cinco Ranch Dermatology, P.A. is 1780926733. It was assigned to this organization in the NPPES registry on March 17, 2013. The provider is doing business as Cinco Ranch Dermatology.

Where is Cinco Ranch Dermatology, P.A. located?

Cinco Ranch Dermatology, P.A. is located at 23050 Westheimer Pkwy, Katy, TX 77494. The listed phone number is (281) 394-9500.

What is Cinco Ranch Dermatology, P.A.'s specialty?

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

Is Cinco Ranch Dermatology, P.A. enrolled in Medicare?

Yes. Cinco Ranch Dermatology, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cinco Ranch Dermatology, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Dermatology, reassign their Medicare billing to Cinco Ranch Dermatology, P.A.. 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, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cinco Ranch Dermatology, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D2066539) is associated with this NPI, valid through September 26, 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 Cinco Ranch Dermatology, P.A. was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.