Camila Antia, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

U6677 Issued in TX

Practice address

4545 Bissonnet St Ste 200
Bellaire, TX 77401-3003

Phone

(281) 456-4900

NPI assigned

Apr 6, 2015

Last updated

Dec 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, TX2 enrollments

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 2

Specialty

Dermatology

Education

University of Florida College of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hontia PLLCGroup PAC ID 0042672123, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: camila@dermchicago.emadirect.md
• FHIR API: https://api.platform.athenahealth.com/9738/brand/1/csg/1/fhir/r4

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.

• Hontia PLLC

  dba TSP The Skin People

  • Dermatology Physician
  • Bellaire, TX
  • NPI 1750061305
  Medicare reassignment Care Compare group NPD
• Medical Dermatology Associates of Chicago, LTD

  • Dermatology Physician
  • Chicago, IL
  • NPI 1801285929
  Medicare reassignment NPD
• David Fivenson, M.D.Dermatology, PLLC

  • Clinical & Laboratory Dermatological Immunology Physician
  • Ann Arbor, MI
  • NPI 1205037454
  NPD (past)

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702684800000",
    "number": "1457746562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 BISSONNET ST STE 200",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013003",
            "telephone_number": "281-456-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 BISSONNET ST STE 200",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013003",
            "telephone_number": "281-456-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 W Harrison St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123714",
            "country_code": "US",
            "telephone_number": "312-864-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3001 Miller Rd",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "48103",
            "country_code": "US",
            "telephone_number": "734-222-9630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTIA",
        "first_name": "CAMILA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2023-12-16",
        "certification_date": "2023-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301113306",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "125.074437",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "U6677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peace Anene
• Raechelle Anglin
• Josephine Angulo, LCSW
• Anne Su, Psy.D., PLLC (Mustard Seed Psychology)
• Lee Van Ansell, M.D.
• Anuji Bedi NP & Company
• Ebere Anya, NP
• Apara Autism Center
• Applied Behavior Therapy for Life, P.C.
• Aranke Enterprises PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2023; 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.

Verify at the official NPI Registry.