Individual provider Active NPI

Elaine Otchere, MD

  • MOHS-Micrographic Surgery Physician
  • Sugar Land, TX
National Provider Identifier
1073172433
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
V2200 Issued in TX
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20240716001323 TX Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 7416285937 Reassigns benefits to 3 organizations
I20260324001671 AZ Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 7416285937 Reassigns benefits to 1 organization
I20260414003978 MD Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 7416285937 Reassigns benefits to 1 organization
I20260414004045 DC Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 7416285937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westgate Skin and Cancer, PLLCGroup PAC ID 2769607415, 3 clinicians

Practice addresses (Care Compare)

4401 W Gate Blvd
Suite 120
Austin, TX 78745-1493
Phone (512) 815-2559

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision63
Removal of skin lesions11
Removal of skin cancer205
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38670NHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain West Derm-Blackhart, PLLC Dermatology CurrentSince Sep 1, 2024 Accepting new patients
Mountain West Derm - Blackhart PLLC Dermatology CurrentSince Sep 1, 2024 Accepting new patients
Central Texas Community Health Centers Dermatology CurrentSince Aug 2, 2025 Accepting new patients
Central Texas Community Health Centers CurrentSince Aug 2, 2025 Accepting new patients
Westgate Skin & Cancer, PLLC Dermatology CurrentSince May 26, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.