Individual provider Active NPI

Joseph Fayez Sedrak, M.D.

  • MOHS-Micrographic Surgery Physician
  • Houston, TX
National Provider Identifier
1316966575
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
N0447 Issued in TX
Practice address
4101 Greenbriar Dr Ste 305
Houston, TX 77098-5244
Phone
(346) 888-4400
Fax
(346) 888-4401
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A84538 CA
MOHS-Micrographic Surgery Physician 207ND0101X A84538 CA
Procedural Dermatology Physician 207NS0135X A84538 CA
Procedural Dermatology Physician 207NS0135X N0447 TX
MOHS-Micrographic Surgery Physician 207ND0101X N0447 TX Primary

Addresses

Primary practice location

4101 Greenbriar Dr Ste 305
Houston, TX 77098-5244

Mailing address

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

Other practice location 1

350 Kingwood Medical Dr Ste 220
Kingwood, TX 77339-6406
Phone (346) 888-4400

Other practice location 2

3609 Business Center Dr Ste 124
Pearland, TX 77584-4168
Phone (346) 588-8440

Other identifiers 1

IdentifierTypeStateIssuer
8CD058OtherTXBCBS OF TEXAS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050824000178 CA Practitioner - Dermatology 2062443690 Reassigns benefits to 2 organizations
I20080819000285 TX Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 2062443690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of South Alabama College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology Care Center IncGroup PAC ID 7012942774, 2 clinicians
Epidermatology PLLCGroup PAC ID 0042555096, 7 clinicians

Practice addresses (Care Compare)

19582 Beach Blvd
Suite 217
Huntington Beach, CA 92648-5923
Phone (949) 650-1244

4101 Greenbriar Dr
Suite 305
Houston, TX 77098-5244
Phone (346) 888-4400

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision51
Removal of skin lesions646
Removal of skin cancer513
Removal or shaving of skin growth52
Skin biopsy375

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N0447TXMDMOHS-Micrographic Surgery Physician
A84538CAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology Care Center Inc Dermatology CurrentSince Nov 15, 2022 Accepting new patients
Epidermatology, PLLC Dermatology CurrentSince Nov 14, 2018 Accepting new patients
West Dermatology of Northern California, Inc Procedural Dermatology Past Accepting new patients
William Posten MD PA Dermatology Past Accepting new patients
City of Hope Medical Foundation Dermatology Past Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients
Jon K Stern MD PA Dermatology Past Accepting new patients
Dermatology & Laser Clinic, Inc. Dermatology PastSince Jan 18, 2006 Accepting new patients
Memorial Hermann Health System Past Accepting new patients
California Cancer Specialists Medical Group Inc Dermatology Past Accepting new patients

Locations

19582 Beach Blvd
Ste 217
Huntington Beach, CA 92648
Phone (949) 650-1244

4101 Greenbriar Dr
Ste 305
Houston, TX 77098
Phone (346) 888-4400

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

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

16902 Southwest Fwy
Ste 100
Sugar Land, TX 77479
Phone (281) 565-2800

Organizations & group practices 11

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1316966575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 BUSINESS CENTER DR STE 124",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844168",
            "telephone_number": "346-888-4400",
            "fax_number": "346-888-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 GREENBRIAR DR STE 305",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770985244",
            "telephone_number": "346-888-4400",
            "fax_number": "346-888-4401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Kingwood Medical Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773396406",
            "country_code": "US",
            "telephone_number": "346-888-4400",
            "fax_number": "346-888-4401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3609 Business Center Dr Ste 124",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775844168",
            "country_code": "US",
            "telephone_number": "346-588-8440",
            "fax_number": "346-888-4401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEDRAK",
        "first_name": "JOSEPH",
        "middle_name": "FAYEZ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A84538",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A84538",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A84538",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TX",
            "license": "N0447",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "N0447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "8CD058",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.