Anthony Phan Nikko, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

K5639 Issued in TX

Practice address

4707 Eigel St Ste 100
Houston, TX 77007-3417

Phone

(713) 960-1311

Fax

(832) 653-6407

NPI assigned

Jan 21, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

DermatologyAlso: Plastic and Reconstructive Surgery

Education

University of Texas Southwestern Medical School at Dallas, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nikko Dermatology PLLCGroup PAC ID 6002146677, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Nikko Dermatology PLLC

  • Dermatology Physician
  • Houston, TX
  • NPI 1841756236
  Medicare reassignment Care Compare group Authorized official
• Nikko Cosmetic Surgery Center

  • Dermatology Physician
  • Houston, TX
  • NPI 1396845673
  Medicare reassignment Authorized official
• Dermatology & Cosmetic Surgery Associates PA

  • Specialist
  • Houston, TX
  • NPI 1164859229
  NPD (past) Authorized official
• Warthan Dermatology Nacogdoches PLLC

  • Dermatology Physician
  • Nacogdoches, TX
  • NPI 1144820135
  NPD (past)

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1962649491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 EIGEL ST STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770073417",
            "telephone_number": "713-960-1311",
            "fax_number": "832-653-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 EIGEL ST STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770073417",
            "telephone_number": "713-960-1311",
            "fax_number": "832-653-6407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27150 Highway 290 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774337224",
            "country_code": "US",
            "telephone_number": "832-653-3300",
            "fax_number": "832-653-6407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2112 W Davis St",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773042049",
            "country_code": "US",
            "telephone_number": "713-960-1311",
            "fax_number": "832-653-6407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20303 Kingsland Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774503010",
            "country_code": "US",
            "telephone_number": "713-960-1311",
            "fax_number": "832-653-6407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIKKO",
        "first_name": "ANTHONY",
        "middle_name": "PHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-21",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "K5639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikki Nicks Mobile Phlebotomist Services Inc
• Nikki'S Apothecary, LLC
• Nikki'S Medical Transportation Servies
• Nikko Cosmetic Surgery Center
• Nikko Dermatology PLLC
• Nikky'S Home Care
• Sharareh Niknam, DDS
• Casey Eileen Nikolich
• Lauren Kate Nikolich, CRNA
• Lubov Eugenia Nikonoff, D.D.S.

• Dermatology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.