PREMIER DERMATOLOGY, PLLC
NPI 1851720056
Dermatology in Abilene, TX

Active since November 07, 2013CLIA 45D2324833 · Certificate of Compliance
1525 HICKORY ST, ABILENE, TX 79601(325) 677-7546 Get Directions Write a Review

NPPES record last updated: February 11, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Premier Dermatology, Pllc NPPES

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

PREMIER DERMATOLOGY, PLLC (NPI 1851720056) is a healthcare organization registered as a dermatology in Abilene, Texas and active in the NPI registry since November 2013. The organization holds a CLIA Certificate of Compliance certificate valid through June 1, 2027 and lists James Landero, President, as its authorized official.

NPPES Registry Identity

NPI1851720056
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePREMIER DERMATOLOGY, PLLC
Location Address1525 HICKORY STAbilene, TX 79601-2906
Mailing Address1525 Hickory StAbilene, TX 79601-2906 · (325) 677-7546 · Fax (325) 676-7546
Organization SubpartNo
Authorized OfficialJames LanderoPresident · (325) 677-7546
Enumeration DateNovember 7, 2013
Last NPPES UpdateFebruary 11, 2014
✔ NPI 1851720056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TX · N8206
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.
1525 HICKORY ST, Abilene, TX 79601

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20140103001136Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Premier Dermatology, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1396975850
1525 HICKORY ST
Abilene, TX 79601
(325) 677-7546
✔ PECOSSame address

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 45D2324833

Premier Dermatology · Conroe, TX
Active · expires Jun 1, 2027
CLIA Number45D2324833
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorJames Landero
Laboratory Phone(325) 677-7546
Laboratory LocationPremier Dermatology14500 Highway 105 W, Conroe, TX 77304
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 45D2089195

Premier Dermatology · Abilene, TX
Expired · Sep 30, 2026
CLIA Number45D2089195
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorJames L. Landero
Laboratory Phone(325) 677-7546
Laboratory LocationPremier Dermatology1525 Hickory St, Abilene, TX 79601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Premier Dermatology, PLLC's NPI number?

The NPI number for Premier Dermatology, PLLC is 1851720056. It was assigned to this organization in the NPPES registry on November 7, 2013.

Where is Premier Dermatology, PLLC located?

Premier Dermatology, PLLC is located at 1525 Hickory St, Abilene, TX 79601. The listed phone number is (325) 677-7546.

What is Premier Dermatology, PLLC's specialty?

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

Is Premier Dermatology, PLLC enrolled in Medicare?

Yes. Premier Dermatology, PLLC is registered in the Medicare PECOS enrollment system.

When is Premier Dermatology, PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Premier Dermatology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Premier Dermatology, 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.

Does Premier Dermatology, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D2324833) is associated with this NPI, valid through June 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premier Dermatology, PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Premier Dermatology, PLLC 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 Premier Dermatology, PLLC was last updated on February 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.