Individual provider Active NPI

Filiberto Cedeno Laurent, MD, PHD

  • Dermatology Physician
  • Katy, TX
National Provider Identifier
1669737011
Registry record updated May 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
R2302 Issued in TX
Practice address
3030 S Mason Rd
Katy, TX 77450-7633
Phone
(617) 640-7209
NPI assigned
Jul 11, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2017

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 251397 MA
Dermatology Physician 207N00000X MT204136 PA
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X R2302 TX Primary

Addresses

Primary practice location

3030 S Mason Rd
Katy, TX 77450-7633

Mailing address

3030 S Mason Rd
Katy, TX 77450

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
I20170714002090 TX Practitioner - Dermatology 4587934153 Reassigns benefits to 1 organization
Practice locations: Katy, TX

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3030 S Mason Rd
Katy, TX 77450-7633
Phone (281) 665-2626

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions73
Skin biopsy37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
251397MAMDDermatology Physician
MT204136PAMDDermatology Physician
R2302TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HDPS Series PLLC Multi-Specialty CurrentSince Jul 1, 2017 Accepting new patients

Locations

3030 S Mason Rd
Katy, TX 77450
Phone (281) 395-4300

Organizations & group practices 1

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": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495411200000",
    "number": "1669737011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 S MASON RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 S MASON RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507633",
            "telephone_number": "617-640-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEDENO LAURENT",
        "first_name": "FILIBERTO",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-11",
        "last_updated": "2017-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "251397",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MT204136",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "R2302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.