Active NPI
Elaine Otchere, MD
- MOHS-Micrographic Surgery Physician
- Sugar Land, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- V2200
- Practice address
- 17510 W Grand Pkwy S Ste 420
Sugar Land, TX 77479-2173 - Phone
- (832) 364-6184
- Fax
- (832) 308-3471
- NPI assigned
- Jun 10, 2019
- Last updated
- Jul 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 38670 | NH | |
| Dermatology Physician | 207N00000X | V2200 | TX | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | R-12787 | IA | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 101288322 | VA | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 2026017615 | MO | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | D0105724 | MD | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | V2200 | TX | Primary |
Addresses
Primary practice location
17510 W Grand Pkwy S Ste 420
Sugar Land, TX 77479-2173
Mailing address
301 West Ave Unit 3107
Austin, TX 78701-4768
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AZ, MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4401 W Gate Blvd
Suite 120
Austin, TX 78745-1493
Phone (512) 815-2559
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 63 |
| Removal of skin lesions | 11 |
| Removal of skin cancer | 205 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38670 | NH | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain West Derm-Blackhart, PLLC | Dermatology | Current | Accepting new patients |
| Mountain West Derm - Blackhart PLLC | Dermatology | Current | Accepting new patients |
| Central Texas Community Health Centers | Dermatology | Current | Accepting new patients |
| Central Texas Community Health Centers | Current | Accepting new patients | |
| Westgate Skin & Cancer, PLLC | Dermatology | Current | Accepting new patients |
| Southwest Skin Specialists LLC | Dermatology | Past | Accepting new patients |
Locations
1210 W Braker Ln
Austin, TX 78758
Phone (512) 978-9300
2559 Western Trails Blvd
Ste 301
Austin, TX 78745
Phone (512) 815-2559
5625 Eiger Rd
Ste 105
Austin, TX 78735
Phone (512) 763-3760
7801 N Lamar Blvd
Ste D81
Austin, TX 78752
Phone (512) 868-3376
301 W State Highway 71
Ste 111
Bastrop, TX 78602
Phone (512) 304-0318
4513 Williams Dr
Georgetown, TX 78633
1320 Wonder World Dr
Ste 108
San Marcos, TX 78666
Phone (512) 392-1411
Interoperability endpoints
- elaine.otchere@49420620398596.direct.elationemr.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Westgate Skin & Cancer
- Dermatology Physician
- Austin, TX
- NPI 1770901589
-
dba CommUnityCare
- Family Medicine Physician
- Austin, TX
- NPI 1427882091
Dermatology
-
dba Vitalogy Skincare
- Dermatology Physician
- Georgetown, TX
- NPI 1366018848
-
- Dermatology Physician
- Phoenix, AZ
- NPI 1174521926
-
dba CommUnityCare
- Federally Qualified Health Center (FQHC)
- Austin, TX
- NPI 1598591414
-
- Dermatology Physician
- Tigard, OR
- NPI 1316656994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1073172433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 WEST AVE UNIT 3107",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787014768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17510 W GRAND PKWY S STE 420",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774792173",
"telephone_number": "832-364-6184",
"fax_number": "832-308-3471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTCHERE",
"first_name": "ELAINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-10",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NH",
"license": "38670",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "V2200",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "IA",
"license": "R-12787",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "VA",
"license": "101288322",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "MO",
"license": "2026017615",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "MD",
"license": "D0105724",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "TX",
"license": "V2200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.