Individual provider Active NPI

Whitney Anne Latin, M.D.

  • Dermatology Physician
  • Pasadena, TX
National Provider Identifier
1265882690
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
U4850 Issued in TX
Practice address
5125 Preston Ave # 150
Pasadena, TX 77505-2055
Phone
(281) 991-0737
Fax
(281) 991-0738
NPI assigned
Jun 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA10809600 NJ
Dermatology Physician 207N00000X 39020000X NY
Dermatology Physician 207N00000X U4850 TX Primary

Addresses

Primary practice location

5125 Preston Ave # 150
Pasadena, TX 77505-2055

Mailing address

5310 Harvest Hill Rd Ste 290
Dallas, TX 75230-5826
Phone (516) 659-5295

Other practice location 1

5420 West Loop S Ste 4500
Bellaire, TX 77401-2122
Phone (713) 529-8787

Other names 1

  • Whitney Anne Talbott Former name

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
I20230922000586 TX Practitioner - Dermatology 8325384415 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Rochester School of Medicine and Dentistry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epidermatology PLLCGroup PAC ID 0042555096, 7 clinicians

Practice addresses (Care Compare)

3609 Business Ctr Dr
Suite 124
Pearland, TX 77584-4168
Phone (346) 888-4400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions150
Removal or shaving of skin growth29
Skin biopsy69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39020000XNYMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Dermatology, PLLC Dermatology CurrentSince Oct 1, 2023 Accepting new patients
Elite Derm Services, PLLC CurrentSince Dec 22, 2024 Accepting new patients
Oliver Street 5.01(a) Inc. Dermatology CurrentSince Oct 1, 2023 Accepting new patients
Epidermatology, PLLC Dermatology CurrentSince Sep 1, 2024 Accepting new patients
Hughston Clinic, P.C. Past Accepting new patients

Locations

5420 West Loop S
Ste 4500
Bellaire, TX 77401
Phone (713) 529-8787

5310 Harvest Hill Rd
Ste 290
Dallas, TX 75230
Phone (214) 420-0672

27131 Fulshear Bend Dr
Fulshear, TX 77441
Phone (281) 612-0050

20326 State Highway 249
Ste 400
Houston, TX 77070
Phone (281) 501-5599

350 Kingwood Medical Dr
Ste 220
Kingwood, TX 77339
Phone (346) 888-4400

5125 Preston Ave
#150
Pasadena, TX 77505
Phone (281) 991-0737

1930 Pearland Pkwy
Ste 154
Pearland, TX 77581
Phone (281) 816-5503

3609 Business Center Dr
Ste 124
Pearland, TX 77584
Phone (346) 588-8440

1367 Dominion Plz
Tyler, TX 75703
Phone (903) 534-6200

Organizations & group practices 5

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": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1265882690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 HARVEST HILL RD STE 290",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752305826",
            "telephone_number": "516-659-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 PRESTON AVE # 150",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775052055",
            "telephone_number": "281-991-0737",
            "fax_number": "281-991-0738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5420 West Loop S Ste 4500",
            "address_purpose": "LOCATION",
            "city": "Bellaire",
            "state": "TX",
            "postal_code": "774012122",
            "country_code": "US",
            "telephone_number": "713-529-8787",
            "fax_number": "713-529-8790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LATIN",
        "first_name": "WHITNEY",
        "middle_name": "ANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA10809600",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "39020000X",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "U4850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "TALBOTT",
            "middle_name": "ANNE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.