Heather Kornmehl

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

T8578 Issued in TX

Practice address

7515 Main St Ste 240
Houston, TX 77030-4501

Phone

(713) 791-9966

Fax

(713) 791-9927

NPI assigned

May 4, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

Drexel University College of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Epidermatology PLLCGroup PAC ID 0042555096, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Epidermatology, PLLC

  • Dermatology Physician
  • Pearland, TX
  • NPI 1821567769
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1285123224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 MAIN ST STE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 MAIN ST STE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304501",
            "telephone_number": "713-791-9966",
            "fax_number": "713-791-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNMEHL",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-04",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "T8578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dermsurgery.org",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "7515 Main St Ste 240",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770304501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yonca Korkmaz Ceyhan, DDS, PHD
• Samantha S Kormah, FNP
• Lucy C Kormeier, MD
• Steven M. Kornblau, M.D.
• Kimberly A Kornmayer, LCSW
• George Michael Kornreich, M.D.
• Aisha Koroma, LPC
• Aminata Koroma
• Sarah Koronfel, D.C.
• Abdoul R Koroni, DDS

• Dermatology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.