Cibolo Creek Dermatology Group
NPI 1083118111 · Dermatology Physician · Boerne, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cibolo Creek Dermatology Group is a Dermatology Physician organization in Boerne, TX (NPI 1083118111).
Provider details
- NPI number
- 1083118111
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary Adair, Billing(830) 214-7960
- License
- J9523 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-03-22
- Last updated
- 2020-08-24
- Certified
- 2020-08-24
Frequently asked questions
- What is Cibolo Creek Dermatology Group's NPI number?
- Cibolo Creek Dermatology Group's National Provider Identifier (NPI) is 1083118111, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cibolo Creek Dermatology Group?
- Cibolo Creek Dermatology Group is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Cibolo Creek Dermatology Group located?
- Cibolo Creek Dermatology Group's practice location on file with NPPES is 120 Dietert Ave Bldg Ste 300, Boerne, TX 78006-2406.
- What is Cibolo Creek Dermatology Group's phone number?
- The practice phone number listed in the NPPES registry for Cibolo Creek Dermatology Group is (830) 971-9151.
- Does Cibolo Creek Dermatology Group accept Medicare?
- Cibolo Creek Dermatology Group is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Cibolo Creek Dermatology Group?
- The authorized official listed on Cibolo Creek Dermatology Group's NPPES record is Mary Adair, Billing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cibolo Creek Dermatology Group's NPI active?
- Yes — Cibolo Creek Dermatology Group's NPI (1083118111) is active in the NPPES registry as of the last update on 2020-08-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.