Individual provider Active NPI

Carson Bogatto, MD

  • Dermatology Physician
  • Houston, TX
National Provider Identifier
1851032809
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
W3770 Issued in TX
Practice address
2222 N Shepherd Dr Ste 102
Houston, TX 77008-3165
Phone
(281) 501-5624
Fax
(281) 501-5625
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X W3770 TX Primary

Addresses

Primary practice location

2222 N Shepherd Dr Ste 102
Houston, TX 77008-3165

Mailing address

2222 N Shepherd Dr Ste 102
Houston, TX 77008-3165
Phone (281) 501-5624

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
I20260310002185 TX Practitioner - Dermatology 4981084571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1010 Pleasant St
New Orleans, LA 70115-2329

1430 Tulane Ave
Suite 8025
New Orleans, LA 70112-2699

8300 N Lamar Blvd
Suite 200a
Austin, TX 78753-5976

Hospital & facility affiliations

  • Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
W3770TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Dermatology, PLLC Dermatology CurrentSince Mar 1, 2026 Accepting new patients

Locations

27131 Fulshear Bend Dr
Fulshear, TX 77441
Phone (281) 612-0050

2222 N Shepherd Dr
Ste 102
Houston, TX 77008
Phone (281) 501-5624

Interoperability endpoints

  • Direct secure messaging: cbogatto5241869@direct.casso.us.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1851032809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 N SHEPHERD DR STE 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770083165",
            "telephone_number": "281-501-5624",
            "fax_number": "281-501-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N SHEPHERD DR STE 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770083165",
            "telephone_number": "281-501-5624",
            "fax_number": "281-501-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGATTO",
        "first_name": "CARSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "W3770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.