Organization Active NPI

Village Dermatology PLLC

  • Dermatology Physician
  • Houston, TX
National Provider Identifier
1285003111
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
VILLAGE DERMATOLOGY PLLC
Practice address
7575 San Felipe Drive
Suite 300
Houston, TX 77063-1780
Phone
(713) 952-8400
Fax
(713) 952-9448
NPI assigned
Sep 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Authorized official

Name
Dr. Reena Jogi, MDNPI 1538299862
Title
Manager
Phone
(713) 952-8400

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

7575 San Felipe Drive
Suite 300
Houston, TX 77063-1780

Mailing address

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

Other practice location 1

109 Shult Dr Ste 200
Columbus, TX 78934-3015
Phone (713) 952-8400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151130000847 TX Part B Supplier - Clinic/Group Practice 9739489576 Receives reassigned benefits from 7 practitioners
Practice locations: Houston, 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
45D2152458Village Dermatology7575 San Felipe, Ste 300, Houston, TX 77063ComplianceOct 27, 2026

National Provider Directory

National Provider Directory

Locations

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

9225 Katy Fwy
Ste 404
Houston, TX 77024
Phone (832) 308-3470

23960 Katy Fwy
Ste 230
Katy, TX 77494

Practitioners & affiliated clinicians

Practitioners 9

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": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1285003111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 SAN FELIPE DRIVE",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631780",
            "telephone_number": "713-952-8400",
            "fax_number": "713-952-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 SAN FELIPE DRIVE",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631780",
            "telephone_number": "713-952-8400",
            "fax_number": "713-952-9448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Shult Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "TX",
            "postal_code": "789343015",
            "country_code": "US",
            "telephone_number": "713-952-8400",
            "fax_number": "713-952-9448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VILLAGE DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "JOGI",
        "authorized_official_first_name": "REENA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-952-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "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 May 29, 2018; 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.