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NPI · 1053969287 · NPPES-sourced

Premier Procedural Dermatology PLLC

ActiveDermatology, Mohs Surgery
NPI Number
1053969287
Type 2 · Organisation
Taxonomy Code
207ND0101X
Contact
(979) 314-5400
Primary practice line
Last Updated
Enumerated
Primary practice addressTX · 77845-8652
1651 Rock Prairie Rd Ste 103College Station, TX 77845-8652
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About this NPIWhat this record shows.

NPI 1053969287 is registered to Premier Procedural Dermatology PLLC, a healthcare organisation classified as "Dermatology, Mohs Surgery" and located at 1651 Rock Prairie Rd Ste 103 in College Station, Texas. The organisation's authorised official is Ryan Ahern. The organisation has been enumerated in the NPI registry since 2019.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Premier Procedural Dermatology PLLC accepts. To confirm in-network status with your specific health plan, contact Premier Procedural Dermatology PLLC directly at (979) 314-5400.

Frequently asked

Yes. NPI 1053969287 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dermatology, Mohs Surgery is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (979) 314-5400.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Premier Procedural Dermatology PLLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207ND0101X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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