Individual provider Active NPI

Paul Subrt, M.D.

  • Specialist
  • Katy, TX
National Provider Identifier
1346252798
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G0174 Issued in TX
Practice address
1331 West Grand Parkway North
370
Katy, TX 77493
Phone
(281) 392-1177
NPI assigned
Aug 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G0174 TX Primary

Addresses

Primary practice location

1331 West Grand Parkway North
370
Katy, TX 77493

Mailing address

1331 W Grand Parkway N
370
Katy, TX 77493
Phone (281) 391-1177

Other identifiers 1

IdentifierTypeStateIssuer
8K8414OtherTXBCBS PROVIDER #

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
I20040420001807 TX Practitioner - Dermatology 6305831918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical Branch at Galveston, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westside Dermatology Clinic , PA.Group PAC ID 9739174335, 2 clinicians

Practice addresses (Care Compare)

1331 W Grand Pkwy N
Suite 370
Katy, TX 77493-2737
Phone (281) 392-1177

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions514
Removal or shaving of skin growth1-10
Skin biopsy129

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G0174TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Dermatology Clinic , PA. Specialist CurrentSince Dec 1, 2003 Accepting new patients

Locations

1331 W Grand Pkwy N
Ste 370
Katy, TX 77493
Phone (281) 392-1177

777 S Fry Rd
Ste 206
Katy, TX 77450
Phone (713) 300-3905

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJFIBD/Endpoint/AJFIBD

Organizations & group practices 1

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346252798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 W GRAND PARKWAY N",
            "address_2": "370",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77493",
            "telephone_number": "281-391-1177",
            "fax_number": "281-392-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 WEST GRAND PARKWAY NORTH",
            "address_2": "370",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77493",
            "telephone_number": "281-392-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBRT",
        "first_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G0174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "8K8414",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.