Individual provider Active NPI

Diana Chou, PA-C

  • Physician Assistant
  • Katy, TX
National Provider Identifier
1164820940
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09490 Issued in TX
Practice address
430 S Mason Rd Ste 101
Katy, TX 77450-2448
Phone
(281) 392-3803
Fax
(281) 392-6766
NPI assigned
Dec 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA09490 TX Primary

Addresses

Primary practice location

430 S Mason Rd Ste 101
Katy, TX 77450-2448

Mailing address

430 S Mason Rd Ste 101
Katy, TX 77450-2448
Phone (281) 392-3803

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dchou@directaddress.net Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150312001820 TX Practitioner - Physician Assistant 5092031997 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robare Dermatology PLLCGroup PAC ID 5698157741, 3 clinicians

Practice addresses (Care Compare)

10547 Fry Rd
Cypress, TX 77433-5348
Phone (832) 834-3349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology - Houston, PLLC Current Accepting new patients
Forefront Dermatology, S.C. Current Accepting new patients
Forefront Dermatology, S.C. Current Accepting new patients
Forefront Dermatology - Houston, PLLC Current Accepting new patients
Forefront Dermatology - Houston, PLLC Current Accepting new patients
Forefront Dermatology, S.C. Current Accepting new patients
Life Balance, PLLC PastSince Jul 31, 2023 Accepting new patients

Locations

2051 Greenhouse Rd
Ste 270
Houston, TX 77084
Phone (281) 665-4444

1615 W League City Pkwy
Ste 300
League City, TX 77573
Phone (281) 665-4444

10905 Memorial Hermann Dr
Ste 211
Pearland, TX 77584
Phone (281) 665-4444

1235 Lake Pointe Pkwy
Ste 200
Sugar Land, TX 77478
Phone (281) 665-4444

Interoperability endpoints

  • Direct secure messaging: dchou@directaddress.net

Organizations & group practices 9

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": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1164820940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 S MASON RD STE 101",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502448",
            "telephone_number": "281-392-3803",
            "fax_number": "281-392-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S MASON RD STE 101",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502448",
            "telephone_number": "281-392-3803",
            "fax_number": "281-392-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOU",
        "first_name": "DIANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-10",
        "last_updated": "2022-04-12",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dchou@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "430 S Mason Rd Ste 101",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774502448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.