Organization Active NPI

Pearl Dermatology PLLC

  • Dermatology Physician
  • Houston, TX
National Provider Identifier
1588156293
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
PEARL DERMATOLOGY PLLC
Practice address
550 Post Oak Blvd Ste 550
Houston, TX 77027-9497
Phone
(713) 497-1417
NPI assigned
May 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Authorized official

Name
Tracy Katz, MDNPI 1578792776
Title
Authorized Official
Phone
(713) 497-1417

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

550 Post Oak Blvd Ste 550
Houston, TX 77027-9497

Mailing address

550 Post Oak Blvd Ste 550
Houston, TX 77027-9497
Phone (713) 497-1417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180921001274 TX Part B Supplier - Clinic/Group Practice 5395096853 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2246886Pearl Dermatology, PLLC, the550 Post Oak Blvd Ste 550, Houston, TX 77027Provider-performed microscopyDec 29, 2027

National Provider Directory

National Provider Directory

Locations

550 Post Oak Blvd
Ste 550
Houston, TX 77027
Phone (713) 497-1417

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1588156293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 POST OAK BLVD STE 550",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770279497",
            "telephone_number": "713-497-1417",
            "fax_number": "949-713-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 POST OAK BLVD STE 550",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770279497",
            "telephone_number": "713-497-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-497-1417",
        "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": []
}

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 Aug 6, 2018; 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.