Cibolo Creek Dermatology Group
NPI 1083118111ActiveOrganization· Dermatology· Boerne, TX
Dermatology in Boerne, Texas, registered in NPPES in March 2018. The authorized official on file is Mary Adair, Billing. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1083118111 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 22, 2018 |
| Last updated in NPPES | Aug 24, 2020 |
| Certified by provider | Aug 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | J9523 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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