Individual provider Active NPI

Caroline Crain Vaughn, MD

  • Dermatology Physician
  • Houston, TX
National Provider Identifier
1194352617
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
U6218 Issued in TX
Practice address
7575 San Felipe St Ste 300
Houston, TX 77063-1780
Phone
(713) 952-8400
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X U6218 TX Primary

Addresses

Primary practice location

7575 San Felipe St Ste 300
Houston, TX 77063-1780

Mailing address

7575 San Felipe St Ste 300
Houston, TX 77063-1780
Phone (713) 952-8400

Other practice location 1

301 University Boulevard
4.112, McCullough Building
Galveston, TX 77555-1327
Phone (409) 747-3376

Other practice location 2

7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (773) 990-5261

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
I20241030002067 TX Practitioner - Dermatology 3375076219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical Branch at Galveston, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Village Dermatology PLLCGroup PAC ID 9739489576, 7 clinicians

Practice addresses (Care Compare)

7575 San Felipe St
Suite 300
Houston, TX 77063-1780
Phone (713) 952-8400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of skin lesions164
Removal or shaving of skin growth1-10
Skin biopsy63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U6218TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Village Dermatology PLLC Dermatology CurrentSince Sep 18, 2024 Accepting new patients

Locations

7575 San Felipe St
Ste 300
Houston, TX 77063
Phone (713) 782-2234

Organizations & group practices 1

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1194352617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 SAN FELIPE ST STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631780",
            "telephone_number": "713-952-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 SAN FELIPE ST STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631780",
            "telephone_number": "713-952-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 University Boulevard",
            "address_2": "4.112, McCullough Building",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775551327",
            "country_code": "US",
            "telephone_number": "409-747-3376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7435 W Talcott Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606313707",
            "country_code": "US",
            "telephone_number": "773-990-5261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "CAROLINE",
        "middle_name": "CRAIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "U6218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.