Bayou City Dermatology, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

BAYOU CITY DERMATOLOGY, LLC

Doing business as

Bayou City Dermatology

Practice address

750 N Texas Ave Ste 100
Webster, TX 77598-4934

Phone

(346) 406-1846

Fax

(346) 406-1786

NPI assigned

Dec 16, 2018

Last updated

Apr 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karan K Sra, MDNPI 1043414634

Title

MD/Owner

Phone

(346) 406-1846

Specialties & licenses 1

Addresses

Other names 1

• Bayou City Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

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

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karan Kaur Sra, MD

  • Dermatology Physician
  • Webster, TX
  • NPI 1043414634
  Medicare reassignment Care Compare group NPD Authorized official
• Audra L Clos, MD

  • Dermatology Physician
  • Jersey Village, TX
  • NPI 1952601122
  Medicare reassignment Care Compare group NPD
• Maria Isabel Colome, MD

  • Dermatopathology Physician
  • Spring, TX
  • NPI 1033214689

  Dermatology

  Medicare reassignment Care Compare group NPD
• Alexander Marzuka, M.D.

  • Dermatology Physician
  • Webster, TX
  • NPI 1447661939
  Medicare reassignment Care Compare group NPD
• Wesley Wu

  • MOHS-Micrographic Surgery Physician
  • Seattle, WA
  • NPI 1679975486

  Dermatology, TX

  Medicare reassignment Care Compare group NPD
• Mary Dorgant McClean, M.D.

  • Dermatology Physician
  • Cypress, TX
  • NPI 1356784011
  Medicare reassignment NPD
• Wei Niu

  • Dermatology Physician
  • Jersey Village, TX
  • NPI 1306333778
  Medicare reassignment NPD
• Megan Underwood, PA-C

  • Physician Assistant
  • Webster, TX
  • NPI 1639757768
  Medicare reassignment NPD
• Lauren Suzanne Campbell, M.D.

  • Dermatology Physician
  • Cypress, TX
  • NPI 1447406400
  NPD
• Chelsea McCall Barr, PA-C

  • Physician Assistant
  • Pearland, TX
  • NPI 1467888180
  NPD (past)
• Gurjeet Basra

  • Physician Assistant
  • Webster, TX
  • NPI 1154752566
  NPD (past)
• Daniel Anthony Carrasco, MD

  • Dermatology Physician
  • Austin, TX
  • NPI 1558345793
  NPD (past)

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1376014464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N TEXAS AVE STE 300",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984967",
            "telephone_number": "346-406-1846",
            "fax_number": "346-406-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N TEXAS AVE STE 100",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984934",
            "telephone_number": "346-406-1846",
            "fax_number": "346-406-1786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20320 Northwest Fwy Ste 700",
            "address_purpose": "LOCATION",
            "city": "Jersey Village",
            "state": "TX",
            "postal_code": "770655645",
            "country_code": "US",
            "telephone_number": "346-437-0400",
            "fax_number": "346-437-0404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3747 Westheimer Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770275479",
            "country_code": "US",
            "telephone_number": "346-327-7990",
            "fax_number": "346-327-8118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAYOU CITY DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "SRA",
        "authorized_official_first_name": "KARAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "346-406-1846",
        "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": [
        {
            "organization_name": "Bayou City Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bayou City Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.