Individual provider Active NPI

Matthew James Sewell, MD, PHARMD

  • Dermatology Physician
  • Houston, TX
National Provider Identifier
1982996773
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
Q7787 Issued in TX
Practice address
13333 Dotson Rd Ste 140
Houston, TX 77070-4305
Phone
(281) 975-0585
Fax
(281) 975-0584
NPI assigned
May 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dermatology Physician 207NP0225X Q7787 TX
Dermatology Physician 207N00000X Q7787 TX Primary

Addresses

Primary practice location

13333 Dotson Rd Ste 140
Houston, TX 77070-4305

Mailing address

13333 Dotson Rd Ste 140
Houston, TX 77070-4305
Phone (281) 975-0585

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
I20160809000264 TX Practitioner - Dermatology 0749500791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in Shreveport, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13333 Dotson Rd
Suite 140
Houston, TX 77070-4305
Phone (281) 975-0585

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions502
Removal or shaving of skin growth89
Skin biopsy156

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q7787TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Dermatology, PLLC Dermatology CurrentSince Sep 15, 2020 Accepting new patients
Dermsouth, PA Dermatology Past Accepting new patients

Locations

13333 Dotson Rd
Ste 140
Houston, TX 77070
Phone (281) 975-0585

17189 Interstate 45 S
Ste 275
Shenandoah, TX 77385
Phone (281) 362-1368

10800 Gosling Rd
Unit 132916
Spring, TX 77393

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": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1982996773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13333 DOTSON RD STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704305",
            "telephone_number": "281-975-0585",
            "fax_number": "281-975-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13333 DOTSON RD STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704305",
            "telephone_number": "281-975-0585",
            "fax_number": "281-975-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWELL",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD, PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-11",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "TX",
            "license": "Q7787",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "Q7787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.