Bayou City Dermatology, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

BAYOU CITY DERMATOLOGY, LLC

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

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.

• 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
  • Brenham, 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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• Sara Bedrosian, M.S., CCC-SLP

• 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.