SOUTHEAST DERMATOLOGY, P.A.
NPI 1811932205
Dermatology in Pasadena, TX
About Southeast Dermatology, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEAST DERMATOLOGY, P.A. (NPI 1811932205) is a healthcare organization registered as a dermatology in Pasadena, Texas and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Houston, and lists Ashkan John Ghorbani, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
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 Dermatology, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Southeast Dermatology, P.A., which bills Medicare for the services they deliver. Of these, 10 practice at this address and 11 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (12)
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 for Provider-Performed Microscopy Procedures (PPMP) 45D0944605
Southeast Dermatology, PA · Pasadena, TXCertificate of Compliance 45D0686649
Southeast Dermatology, PA · Houston, 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 Southeast Dermatology, P.A.'s NPI number?
The NPI number for Southeast Dermatology, P.A. is 1811932205. It was assigned to this organization in the NPPES registry on June 18, 2006.
Where is Southeast Dermatology, P.A. located?
Southeast Dermatology, P.A. is located at 4419 Crenshaw Rd, Pasadena, TX 77504. The listed phone number is (281) 991-5944.
What is Southeast Dermatology, P.A.'s specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Southeast Dermatology, P.A. enrolled in Medicare?
Yes. Southeast Dermatology, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southeast Dermatology, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Southeast 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. The largest specialties are Dermatology (11) and Nurse Practitioner (1). Of these, 10 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southeast Dermatology, P.A. 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.
What insurance does Southeast Dermatology, P.A. accept?
Health plans from WellPoint list Southeast Dermatology, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Southeast Dermatology, P.A. was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Southeast Dermatology, P.a. · NPI 1811932205
Dermatology organization in Pasadena, Texas. Organization record, active in the CMS NPPES registry since June 18, 2006.
## Identity
- **NPI:** 1811932205 (Entity type: Organization)
- **Enumerated:** June 18, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Ashkan Ghorbani, PRESIDENT
## Practice location
- **Address:** 4419 CRENSHAW RD, Pasadena, TX 77504-3628
- **Phone:** (281) 991-5944 · **Fax:** (281) 991-6849
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (11), Nurse Practitioner (1); 10 practice at this address and 11 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 21, 2026
- **Other identifiers:** Medicaid 080342101 (TX)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1811932205) · Data from the CMS NPPES public registry.