Organization Active NPI

Trias Pathology Diagnostics PLLC

  • Clinical & Laboratory Dermatological Immunology Physician
  • Houston, TX
National Provider Identifier
1184296790
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Dermatological Immunology PhysicianTaxonomy code 207NI0002X
Legal business name
TRIAS PATHOLOGY DIAGNOSTICS PLLC
Practice address
4550 Post Oak Place Dr Ste 340
Houston, TX 77027-3167
Phone
(877) 850-6009
Fax
(855) 919-6009
NPI assigned
Jul 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Dr. Michael P Sedrak, MDNPI 1043539687
Title
Dermatopathologist
Phone
(817) 296-0963

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Dermatological Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207NI0002X Primary

Addresses

Primary practice location

4550 Post Oak Place Dr Ste 340
Houston, TX 77027-3167

Mailing address

4550 Post Oak Place Dr Ste 340
Houston, TX 77027-3167
Phone (877) 850-6009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230511001539 TX Part B Supplier - Clinic/Group Practice 3971968009 Receives reassigned benefits from 1 practitioner
Practice locations: Cypress, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2278079Trias Pathology Diagnostics4550 Post Oak Place LN Suite 340, Houston, TX 77027ComplianceNov 6, 2027

National Provider Directory

National Provider Directory

Locations

4550 Post Oak Place Dr
Ste 340
Houston, TX 77027
Phone (877) 850-6009

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1184296790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 POST OAK PLACE DR STE 340",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770273167",
            "telephone_number": "877-850-6009",
            "fax_number": "855-919-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 POST OAK PLACE DR STE 340",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770273167",
            "telephone_number": "877-850-6009",
            "fax_number": "855-919-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAS PATHOLOGY DIAGNOSTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "SEDRAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DERMATOPATHOLOGIST",
        "authorized_official_telephone_number": "817-296-0963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NI0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.