DERMATOLOGY SPECIALISTS, PA
NPI 1992813570
Dermatology in Richardson, TX

Active since August 25, 2006CLIA 45D1037157 · Microscopy
3005 E. RENNER ROAD, SUITE 100, RICHARDSON, TX 75082(792) 699-0000(972) 699-0004 Get Directions Write a Review

NPPES record last updated: December 23, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dermatology Specialists, Pa NPPES

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

DERMATOLOGY SPECIALISTS, PA (NPI 1992813570) is a healthcare organization registered as a dermatology in Richardson, Texas and active in the NPI registry since August 2006. The organization holds a CLIA Microscopy certificate valid through April 23, 2028 and lists Sandalee S Krueger, Office Mgr, as its authorized official.

NPPES Registry Identity

NPI1992813570
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY SPECIALISTS, PA
Location Address3005 E. RENNER ROAD, SUITE 100Richardson, TX 75082
Mailing Address3005 E Renner Rd, Suite 100Richardson, TX 75082-3505 · (972) 699-0000 · Fax (972) 699-0004
Fax(972) 699-0004
Organization SubpartNo
Authorized OfficialSandalee S KruegerOffice Mgr · (972) 699-0000
Enumeration DateAugust 25, 2006
Last NPPES UpdateDecember 23, 2009
✔ NPI 1992813570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TX · L0877
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.
3005 E. RENNER ROAD, Richardson, TX 75082

Other Identifiers 1

Medicare ID-Type Unspecified00362YTX · Group Medicare Number

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)

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

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Dermatology Specialists, PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Dermatology
NPI 1053374033
3005 E. RENNER ROAD SUITE 100
Richardson, TX 75082
(972) 699-0000
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1104020767
3005 E. RENNER ROAD STE 100
Richardson, TX 75082
(972) 699-0000
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1760878029
3005 E RENNER RD
Richardson, TX 75082
(972) 699-0000
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1750385688
3005 E RENNER RD SUITE 100
Richardson, TX 75082
(972) 699-0000
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1134414725
152 BRAND RD SUITE 100
Murphy, TX 75094
(972) 316-4555
✔ PECOS✔ Accepts Medicare2.7 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) 45D1037157

Dermatology Specialists, PA · Richardson, TX
Active · expires Apr 23, 2028
CLIA Number45D1037157
Laboratory TypePhysician Office
Certificate Effective DateApril 24, 2026
Certificate Expiration DateApril 23, 2028
Laboratory DirectorDiana K. Nguyen
Laboratory Phone(972) 699-0000
Laboratory LocationDermatology Specialists, PA3005 E Renner Road, Suite 100, Richardson, TX 75082
CLIA data matches this NPI record on: Address 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 Dermatology Specialists, PA's NPI number?

The NPI number for Dermatology Specialists, PA is 1992813570. It was assigned to this organization in the NPPES registry on August 25, 2006.

Where is Dermatology Specialists, PA located?

Dermatology Specialists, PA is located at 3005 E. Renner Road Suite 100, Richardson, TX 75082. The listed phone number is (792) 699-0000.

What is Dermatology Specialists, PA's specialty?

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

Is Dermatology Specialists, PA enrolled in Medicare?

Yes. Dermatology Specialists, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatology Specialists, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Dermatology, reassign their Medicare billing to Dermatology Specialists, PA. 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, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dermatology Specialists, PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D1037157) is associated with this NPI, valid through April 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dermatology Specialists, PA was last updated on December 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.