Active NPI
Dermatology Associates of Katy
- Dermatology Physician
- Katy, TX
National Provider Identifier
1063102176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- DERMATOLOGY ASSOCIATES OF KATY
- Practice address
- 23510 Kingsland Blvd Ste 110
Katy, TX 77494-4126 - Phone
- (281) 400-1224
- NPI assigned
- May 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Uyen Ngoc Mui, MD
- Title
- Owner
- Phone
- (281) 400-1224
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
23510 Kingsland Blvd Ste 110
Katy, TX 77494-4126
Mailing address
23510 Kingsland Blvd Ste 110
Katy, TX 77494-4126
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230522001423 | TX | Part B Supplier - Clinic/Group Practice | 6608232418 |
Receives reassigned benefits from 1 practitioner Practice locations: Katy, TX |
National Provider Directory
National Provider DirectoryLocations
23510 Kingsland Blvd
Ste 110
Katy, TX 77494
Phone (281) 400-1224
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709683200000",
"number": "1063102176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23510 KINGSLAND BLVD STE 110",
"city": "KATY",
"state": "TX",
"postal_code": "774944126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23510 KINGSLAND BLVD STE 110",
"city": "KATY",
"state": "TX",
"postal_code": "774944126",
"telephone_number": "281-400-1224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DERMATOLOGY ASSOCIATES OF KATY",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-11",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A",
"authorized_official_last_name": "MUI",
"authorized_official_first_name": "UYEN NGOC",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "281-400-1224",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.