Individual provider Active NPI

Neda Nosrati, MD

  • Dermatology Physician
  • Houston, TX
National Provider Identifier
1043470297
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
N9756 Issued in TX
Practice address
7575 San Felipe St Ste 300
Houston, TX 77063
Phone
(713) 952-8400
Fax
(713) 952-9448
NPI assigned
Jun 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X N9756 TX Primary

Addresses

Primary practice location

7575 San Felipe St Ste 300
Houston, TX 77063

Mailing address

7575 San Felipe St Ste 300
Houston, TX 77063-1780
Phone (713) 952-8400

Other practice location 1

109 Shult Dr Ste 200
Columbus, TX 78934-3015
Phone (713) 952-8400

Other identifiers 1

IdentifierTypeStateIssuer
TXB159553OtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120820000023 TX Practitioner - Dermatology 0446406896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Baylor College of Medicine, 2008
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Village Dermatology PLLCGroup PAC ID 9739489576, 7 clinicians

Practice addresses (Care Compare)

7575 San Felipe St
Suite 300
Houston, TX 77063-1780
Phone (713) 952-8400

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision59
Removal of skin lesions792
Removal of skin cancer311
Skin biopsy276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N9756TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Village Dermatology PLLC Dermatology CurrentSince Sep 23, 2015 Accepting new patients

Locations

109 Shult Dr
Ste 200
Columbus, TX 78934
Phone (281) 453-9334

7575 San Felipe St
Ste 300
Houston, TX 77063
Phone (713) 782-2234

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1043470297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 SAN FELIPE ST STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631780",
            "telephone_number": "713-952-8400",
            "fax_number": "713-952-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 SAN FELIPE ST STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77063",
            "telephone_number": "713-952-8400",
            "fax_number": "713-952-9448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Shult Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "TX",
            "postal_code": "789343015",
            "country_code": "US",
            "telephone_number": "713-952-8400",
            "fax_number": "719-952-9448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOSRATI",
        "first_name": "NEDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "N9756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TXB159553",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.