Individual provider Active NPI

Keith E Schulze, M.D.

  • Dermatology Physician
  • Sugar Land, TX
National Provider Identifier
1174612162
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
H7651 Issued in TX
Practice address
15400 Southwest Fwy
Suite 150
Sugar Land, TX 77478-3875
Phone
(281) 980-6647
Fax
(281) 980-6650
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X H7651 TX Primary
MOHS-Micrographic Surgery Physician 207ND0101X H7651 TX

Addresses

Primary practice location

15400 Southwest Fwy
Suite 150
Sugar Land, TX 77478-3875

Mailing address

15400 Southwest Fwy
Suite 150
Sugar Land, TX 77478-3875
Phone (281) 980-6647

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
I20070502000473 TX Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 1951390129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
University of Texas Medical School at Houston, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15400 Southwest Fwy
Suite 150
Sugar Land, TX 77478-3878
Phone (281) 980-6647

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision77
Removal of skin lesions155
Removal of skin cancer550
Removal of nail tissue1-10
Skin biopsy96

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Keith E Schulze MD PA Mohs-Micrographic Surgery CurrentSince Oct 23, 2006 Accepting new patients
South Texas Medical Clinics, P.a. Past Accepting new patients

Locations

15400 Southwest Fwy
Ste 150
Sugar Land, TX 77478
Phone (281) 486-4692

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1174612162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 SOUTHWEST FWY",
            "address_2": "SUITE 150",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783875",
            "telephone_number": "281-980-6647",
            "fax_number": "281-980-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 SOUTHWEST FWY",
            "address_2": "SUITE 150",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783875",
            "telephone_number": "281-980-6647",
            "fax_number": "281-980-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULZE",
        "first_name": "KEITH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "H7651",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "H7651",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.