Individual provider Active NPI

Shelley A Sekula-Gibbs, M.D.

  • Dermatology Physician
  • Houston, TX
National Provider Identifier
1386610905
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G2838 Issued in TX
Practice address
17300 El Camino Real
Ste. 103
Houston, TX 77058-2715
Phone
(281) 480-7546
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G2838 TX Primary
MOHS-Micrographic Surgery Physician 207ND0101X G2838 TX
Procedural Dermatology Physician 207NS0135X G2838 TX

Addresses

Primary practice location

17300 El Camino Real
Ste. 103
Houston, TX 77058-2715

Mailing address

17300 El Camino Real
Ste. 103
Houston, TX 77058-2715
Phone (281) 480-7546

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
I20050119000693 TX Practitioner - Dermatology 1254380058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical Branch at Galveston, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Dermatology, PLLCGroup PAC ID 8729345285, 26 clinicians

Practice addresses (Care Compare)

4505 Kingwood Dr
Suite 185
Kingwood, TX 77345-2618
Phone (281) 747-5533

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions83
Skin biopsy32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G2838TXMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Dermatology, PLLC Dermatology CurrentSince Sep 18, 2023 Accepting new patients
Elite Derm Services, PLLC CurrentSince Dec 22, 2024 Accepting new patients
Hughston Clinic, P.C. Past Accepting new patients

Locations

27131 Fulshear Bend Dr
Fulshear, TX 77441
Phone (281) 612-0050

20326 State Highway 249
Ste 400
Houston, TX 77070
Phone (281) 501-5599

4505 Kingwood Dr
Ste 185
Kingwood, TX 77345
Phone (281) 747-5533

1930 Pearland Pkwy
Ste 154
Pearland, TX 77581
Phone (281) 816-5503

Interoperability endpoints

  • Direct secure messaging: ssekula@elitedermatology.emadirect.md

Organizations & group practices 3

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1386610905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 EL CAMINO REAL",
            "address_2": "STE. 103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582715",
            "telephone_number": "281-480-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 EL CAMINO REAL",
            "address_2": "STE. 103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582715",
            "telephone_number": "281-480-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEKULA-GIBBS",
        "first_name": "SHELLEY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "G2838",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "G2838",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TX",
            "license": "G2838",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.