Individual provider Active NPI

Sarah Ameen Kesaria, MD

  • Dermatology Physician
  • Fulshear, TX
National Provider Identifier
1104555226
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
W5402 Issued in TX
Practice address
27131 Fulshear Bend Dr
Fulshear, TX 77441-1231
Phone
(281) 612-0050
NPI assigned
Jun 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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 W5402 TX Primary

Addresses

Primary practice location

27131 Fulshear Bend Dr
Fulshear, TX 77441-1231

Mailing address

27131 Fulshear Bend Dr
Fulshear, TX 77441-1231
Phone (281) 612-0050

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
I20220922003531 TX Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 7315322617

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical Branch at Galveston, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

230 Chatham Ave
Sugar Land, TX 77479-6719

8300 N Lamar Blvd
Suite 200a
Austin, TX 78753-5976

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
W5402TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Dermatology, PLLC Single Specialty CurrentSince Jul 1, 2026 Accepting new patients
Elite Derm Services, PLLC Single Specialty CurrentSince Jul 1, 2026 Accepting new patients

Locations

27131 Fulshear Bend Dr
Fulshear, TX 77441
Phone (281) 612-0050

Organizations & group practices 2

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": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1104555226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27131 FULSHEAR BEND DR",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411231",
            "telephone_number": "281-612-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27131 FULSHEAR BEND DR",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411231",
            "telephone_number": "281-612-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESARIA",
        "first_name": "SARAH",
        "middle_name": "AMEEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "W5402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulshear, TX

Sources for this page

Verify at the official NPI Registry.