WEST HOUSTON DERMATOLOGY
NPI 1881805885
Specialist in Houston, TX

Active since May 24, 2007CLIA 45D0877602 · Microscopy
12606 WEST HOUSTON CENTER BLVD., SUITE 110, HOUSTON, TX 77082(281) 558-3376(281) 558-0544 Get Directions Write a Review

NPPES record last updated: October 17, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About West Houston Dermatology NPPES

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

WEST HOUSTON DERMATOLOGY (NPI 1881805885) is a healthcare organization registered as a specialist in Houston, Texas and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through August 4, 2027 and lists Stephen Edward Mahoney, Physician, as its authorized official.

NPPES Registry Identity

NPI1881805885
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameWEST HOUSTON DERMATOLOGY
Location Address12606 WEST HOUSTON CENTER BLVD., SUITE 110Houston, TX 77082
Mailing Address12606 West Houston Center Blvd., Suite 110Houston, TX 77082 · (281) 558-3376 · Fax (281) 558-0544
Fax(281) 558-0544
Organization SubpartNo
Authorized OfficialStephen Edward MahoneyPhysician · (281) 558-3376
Enumeration DateMay 24, 2007
Last NPPES UpdateOctober 17, 2007
✔ NPI 1881805885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
12606 WEST HOUSTON CENTER BLVD., Houston, TX 77082

Other Identifiers 3

Medicare PIN00070KTX
Medicare PIN89470JTX
Medicare UPINF57203TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to West Houston Dermatology, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1134426265
12606 W HOUSTON CENTER BLVD STE 110
Houston, TX 77082
(281) 558-3376
✔ PECOSSame address
Dermatology
NPI 1295743490
2925 BRIARPARK DR STE 250
Houston, TX 77042
(281) 558-3376
✔ PECOS✔ Accepts Medicare2.8 mi
Dermatology
NPI 1164733937
1700 UNIVERSITY DR E
College Station, TX 77840
(979) 691-3300
✔ PECOS✔ Accepts Medicare76 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) 45D0877602

West Houston Dermatology PA · Houston, TX
Active · expires Aug 4, 2027
CLIA Number45D0877602
Laboratory TypePhysician Office
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorStephen E. Mahoney, MD
Laboratory Phone(281) 558-3376
Laboratory LocationWest Houston Dermatology PA2925 Briarpark Dr, Ste 150, Houston, TX 77042
CLIA data matches this NPI record on: Name Phone
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 West Houston Dermatology's NPI number?

The NPI number for West Houston Dermatology is 1881805885. It was assigned to this organization in the NPPES registry on May 24, 2007.

Where is West Houston Dermatology located?

West Houston Dermatology is located at 12606 West Houston Center Blvd. Suite 110, Houston, TX 77082. The listed phone number is (281) 558-3376.

What is West Houston Dermatology's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is West Houston Dermatology enrolled in Medicare?

Yes. West Houston Dermatology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through West Houston Dermatology?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to West Houston Dermatology, in Dermatology and Nurse Practitioner. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does West Houston Dermatology hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0877602) is associated with this NPI, valid through August 4, 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 West Houston Dermatology was last updated on October 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.