Individual provider Active NPI

Peter Simon Herman, MD

  • Dermatology Physician
  • El Paso, TX
National Provider Identifier
1669464285
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
E3304 Issued in TX
Practice address
4801 Alberta Ave
El Paso, TX 79905-2707
Phone
(915) 215-5200
Fax
(915) 215-8640
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X E3304 TX Primary
Pediatric Dermatology Physician 207NP0225X E3304 TX
Procedural Dermatology Physician 207NS0135X E3304 TX
Dermatopathology Physician 207ND0900X 207N10002X TX
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X E3304 TX
Dermatopathology Physician 207ND0900X E3304 TX

Addresses

Primary practice location

4801 Alberta Ave
El Paso, TX 79905-2707

Mailing address

5130 Gateway Blvd E
El Paso, TX 79905-1608
Phone (915) 215-4828

Other practice location 1

2100 N Mesa
Peter S Herman MD PA
El Paso, TX 79902-3312
Phone (915) 544-3800

Other practice location 2

2000 Transmountain Rd Ste B
El Paso, TX 79911-3602
Phone (915) 215-8400

Other identifiers 1

IdentifierTypeStateIssuer
8P2920OtherTXBCBS

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
I20041111000064 TX Practitioner - Dermatology 1254394257 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1962
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peter S Herman MD PAGroup PAC ID 8729041728, 2 clinicians
Texas Tech University Health Sciences Center El PasoGroup PAC ID 7517864754, 306 clinicians

Practice addresses (Care Compare)

2100 N Mesa
El Paso, TX 79902-3312
Phone (915) 544-3800

2100 N Mesa St
El Paso, TX 79902-3312

4801 Alberta Ave
El Paso, TX 79905-2707
Phone (915) 215-5300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions88
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207N10002XTXMDDermatopathology Physician
E3304TXMDPediatric Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso CurrentSince Oct 1, 2025 Accepting new patients
Peter S Herman MD PA Dermatology CurrentSince Oct 1, 1975 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Oct 1, 2025 Accepting new patients
Next Step Foot and Ankle Centers, Inc Past Accepting new patients

Locations

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

2100 N Mesa St
El Paso, TX 79902
Phone (915) 544-3800

10960 Montwood Dr
El Paso, TX 79935
Phone (915) 633-9455

10960 Montwood Dr
Ste A
El Paso, TX 79935

Organizations & group practices 4

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1669464285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 GATEWAY BLVD E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799051608",
            "telephone_number": "915-215-4828",
            "fax_number": "915-215-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 ALBERTA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052707",
            "telephone_number": "915-215-5200",
            "fax_number": "915-215-8640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 N Mesa",
            "address_2": "Peter S Herman MD PA",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799023312",
            "country_code": "US",
            "telephone_number": "915-544-3800",
            "fax_number": "915-544-3008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Transmountain Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799113602",
            "country_code": "US",
            "telephone_number": "915-215-8400",
            "fax_number": "915-612-9254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "PETER",
        "middle_name": "SIMON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "E3304",
            "primary": true
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "TX",
            "license": "E3304",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TX",
            "license": "E3304",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "TX",
            "license": "207N10002X",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "TX",
            "license": "E3304",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "TX",
            "license": "E3304",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8P2920",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.