Individual provider Active NPI

Stephen V Laborde, MD

  • Dermatology Physician
  • Houston, TX
National Provider Identifier
1962488106
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
L5013 Issued in TX
Practice address
1333 West Loop S Ste 1425
Houston, TX 77027-9121
Phone
(713) 534-3126
Fax
(713) 960-0761
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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 L5013 TX Primary

Addresses

Primary practice location

1333 West Loop S Ste 1425
Houston, TX 77027-9121

Mailing address

1333 West Loop S Ste 1425
Houston, TX 77027-9121
Phone (713) 960-0700

Other identifiers 3

IdentifierTypeStateIssuer
171079002MedicaidTX
171079003MedicaidTX
171079001MedicaidTX

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
I20050104000456 TX Practitioner - Dermatology 6406804731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tulane University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1333 W Loop S
Suite 1425
Houston, TX 77027-9121
Phone (713) 960-0700

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions573
Skin biopsy246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L5013TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laborde Dermatology, PA Dermatology CurrentSince Mar 1, 2005 Accepting new patients
Village Chiropractic and Wellness P.L.L.C. Past Accepting new patients

Locations

1333 West Loop S
Ste 1425
Houston, TX 77027
Phone (713) 534-3126

Interoperability endpoints

  • Direct secure messaging: slabordemd@labordedermatology.emadirect.md

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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1962488106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 WEST LOOP S STE 1425",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770279121",
            "telephone_number": "713-960-0700",
            "fax_number": "713-960-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 WEST LOOP S STE 1425",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770279121",
            "telephone_number": "713-534-3126",
            "fax_number": "713-960-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABORDE",
        "first_name": "STEPHEN",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "L5013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171079002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171079003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171079001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.