Individual provider Active NPI

Kayla McNiece, MD

  • MOHS-Micrographic Surgery Physician
  • Bellaire, TX
National Provider Identifier
1205254943
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
S1657 Issued in TX
Practice address
6565 West Loop S Ste 800
Bellaire, TX 77401-3505
Phone
(713) 661-4383
NPI assigned
Mar 31, 2014
Last updated
Apr 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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
MOHS-Micrographic Surgery Physician 207ND0101X S1657 TX Primary

Addresses

Primary practice location

6565 West Loop S Ste 800
Bellaire, TX 77401-3505

Mailing address

6565 West Loop S Ste 800
Bellaire, TX 77401-3505
Phone (713) 661-4383

Other practice location 1

2001 W 86th St
Indianapolis, IN 46260-1902
Phone (317) 338-2281

Other practice location 2

308 Coliseum Dr Ste 200
Macon, GA 31217
Phone (478) 742-2180

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
I20200922000146 TX Practitioner - Dermatology 0749405793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical School at Houston, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellaire Dermatology Associates PAGroup PAC ID 6800890146, 11 clinicians

Practice addresses (Care Compare)

6565 W Loop S
Bellaire, TX 77401-3505
Phone (713) 661-4383

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision177
Removal of tissue44
Removal of skin lesions282
Removal of skin cancer579
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy151

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bellaire Dermatology Associates, P.a. Mohs-Micrographic Surgery CurrentSince Aug 24, 2020 Accepting new patients
Skin Care Physicians of Georgia, P.C. PastSince Dec 1, 1999 Accepting new patients

Locations

6565 West Loop S
Ste 800
Bellaire, TX 77401
Phone (713) 305-6600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1205254943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 WEST LOOP S STE 800",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013505",
            "telephone_number": "713-661-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 WEST LOOP S STE 800",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013505",
            "telephone_number": "713-661-4383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 W 86th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462601902",
            "country_code": "US",
            "telephone_number": "317-338-2281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 Coliseum Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "31217",
            "country_code": "US",
            "telephone_number": "478-742-2180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNIECE",
        "first_name": "KAYLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "S1657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.