Active NPI
Shelley A Sekula-Gibbs, M.D.
- Dermatology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G2838
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 83 |
| Skin biopsy | 32 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G2838 | TX | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Dermatology, PLLC | Dermatology | Current | Accepting new patients |
| Elite Derm Services, PLLC | Current | 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
- 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.
-
- Dermatology Physician
- Katy, TX
- NPI 1104337526
-
- Dermatopathology (Pathology) Physician
- Fulshear, TX
- NPI 1861209298
-
- Orthopaedic Surgery Physician
- Columbus, GA
- NPI 1164461190
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.