Proderm PLLC
NPI 1184410987ActiveOrganization· Dermatology, MOHS-Micrographic Surgery· Austin, TX
Dermatology, MOHS-Micrographic Surgery in Austin, Texas, registered in NPPES in April 2025. The authorized official on file is Sydney Larkin Proffer, MD, Sole Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1184410987 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 17, 2025 |
| Last updated in NPPES | Jun 17, 2025 |
| Certified by provider | Jun 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology, MOHS-Micrographic Surgery Primary | 207ND0101X | — | — |
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) |
|---|
Other Dermatology, MOHS-Micrographic Surgery providers in Austin
- 1033416870
- 1225461924
- 1780872762
- 1548605769
- 1023033883
- 1740471929
- 1003829920
- 1770880007
- 1033437835
- 1588283253
- 1033478763
- 1699161174
All Dermatology, MOHS-Micrographic Surgery providers in Texas →