Individual provider Active NPI

Adrian Subrt, MD

  • Dermatology Physician
  • Katy, TX
National Provider Identifier
1386055382
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
R5213 Issued in TX
Practice address
1331 W Grand Pkwy N Ste 370
Katy, TX 77493-2737
Phone
(281) 392-1177
Fax
(281) 392-1125
NPI assigned
May 13, 2014
Last updated
Jun 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X R5213 TX Primary

Addresses

Primary practice location

1331 W Grand Pkwy N Ste 370
Katy, TX 77493-2737

Mailing address

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

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
I20180326000645 TX Practitioner - Dermatology 1355603986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical Branch at Galveston, 2018
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 lesions863
Removal or shaving of skin growth91
Skin biopsy42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Dermatology Clinic , PA. Dermatology CurrentSince Mar 1, 2018 Accepting new patients

Locations

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

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": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1386055382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 W GRAND PKWY N STE 370",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932737",
            "telephone_number": "281-392-1177",
            "fax_number": "281-392-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W GRAND PKWY N STE 370",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932737",
            "telephone_number": "281-392-1177",
            "fax_number": "281-392-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBRT",
        "first_name": "ADRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-13",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "R5213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.