Individual provider Active NPI

Lucile E White, MD

  • MOHS-Micrographic Surgery Physician
  • Bellaire, TX
National Provider Identifier
1689690174
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
M7754 Issued in TX
Practice address
6700 West Loop South
Suite #500
Bellaire, TX 77401
Phone
(713) 791-9966
Fax
(713) 791-9927
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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 M7754 TX
Dermatology Physician 207N00000X 036111738 IL
MOHS-Micrographic Surgery Physician 207ND0101X M7754 TX Primary

Addresses

Primary practice location

6700 West Loop South
Suite #500
Bellaire, TX 77401

Mailing address

6700 West Loop South
Suite #500
Bellaire, TX 77401
Phone (713) 791-9966

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
I20071107000749 TX Practitioner - Dermatology 9830125319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Chicago, Pritzker School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derm Surgery Associates P.a.Group PAC ID 9436124278, 24 clinicians

Practice addresses (Care Compare)

6700 W Loop S
Suite 500
Bellaire, TX 77401-4120
Phone 7137919966130

Merit-based Incentive Payment System (MIPS)

Final score
87.44 of 100Reported as individual
Quality
74.87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision89
Removal of skin lesions524
Removal of skin cancer302
Removal or shaving of skin growth63
Skin biopsy398

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036111738ILMDDermatology Physician
M7754TXMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Derm Surgery Associates P.a. Dermatology CurrentSince Jan 20, 2011 Accepting new patients
Dermsouth, PA Dermatology CurrentSince Sep 18, 2007 Accepting new patients

Locations

6700 West Loop S
Ste 100
Bellaire, TX 77401
Phone (713) 662-9729

6700 West Loop S
Ste 500
Bellaire, TX 77401
Phone (713) 791-9966

7515 Main St
Ste 240
Houston, TX 77030
Phone (713) 791-9966

10970 Shadow Creek Pkwy
Ste 340
Pearland, TX 77584
Phone (713) 340-0030

Organizations & group practices 2

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1689690174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 WEST LOOP SOUTH",
            "address_2": "SUITE #500",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "77401",
            "telephone_number": "713-791-9966",
            "fax_number": "713-791-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 WEST LOOP SOUTH",
            "address_2": "SUITE #500",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "77401",
            "telephone_number": "713-791-9966",
            "fax_number": "713-791-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "LUCILE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2024-03-06",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "M7754",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036111738",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "M7754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.