Individual provider Active NPI

Sana Hashmi Zahiruddin, M.D.

  • Dermatology Physician
  • Katy, TX
National Provider Identifier
1154764868
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
R0679 Issued in TX
Practice address
21310 Provincial Blvd
Katy, TX 77450-7580
Phone
(281) 599-0404
NPI assigned
Apr 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 R0679 TX Primary

Addresses

Primary practice location

21310 Provincial Blvd
Katy, TX 77450-7580

Mailing address

21310 Provincial Blvd
Katy, TX 77450-7580
Phone (281) 599-0404

Other names 1

  • Sana Hashmi Former name

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
I20170905001341 TX Practitioner - Dermatology 2567735020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Stanford University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katy Dermatology, P.a.Group PAC ID 4789654815, 6 clinicians

Practice addresses (Care Compare)

21310 Provincial Blvd
Katy, TX 77450-7580
Phone (281) 599-0404

24612 Kingsland Blvd
Katy, TX 77494-3386
Phone (281) 665-7097

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) excision1-10
Removal of skin lesions369
Skin biopsy337

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0679TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Katy Dermatology, P.a. CurrentSince Jul 18, 2017 Accepting new patients
Advanced Dermatologic Surgery PA Dermatology PastSince Jul 24, 2022 Accepting new patients

Locations

21310 Provincial Blvd
Katy, TX 77450
Phone (281) 599-0404

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": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1154764868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21310 PROVINCIAL BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507580",
            "telephone_number": "281-599-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21310 PROVINCIAL BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507580",
            "telephone_number": "281-599-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAHIRUDDIN",
        "first_name": "SANA",
        "middle_name": "HASHMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "R0679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANA",
            "last_name": "HASHMI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.