Dermatology of East Texas PA
NPI 1679905673 · Dermatology Physician · Tyler, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dermatology of East Texas PA is a Dermatology Physician organization in Tyler, TX (NPI 1679905673).
Provider details
- NPI number
- 1679905673
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kyle Jenkins, Coo(903) 531-2850
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
12 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
- 2013-08-01
- Last updated
- 2025-06-10
- Certified
- 2025-06-10
Frequently asked questions
- What is Dermatology of East Texas PA's NPI number?
- Dermatology of East Texas PA's National Provider Identifier (NPI) is 1679905673, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dermatology of East Texas PA?
- Dermatology of East Texas PA is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Dermatology of East Texas PA located?
- Dermatology of East Texas PA's practice location on file with NPPES is 909 Ese Loop323 Ste 110, Tyler, TX 75701-9675.
- What is Dermatology of East Texas PA's phone number?
- The practice phone number listed in the NPPES registry for Dermatology of East Texas PA is (903) 531-2850.
- Does Dermatology of East Texas PA accept Medicare?
- Dermatology of East Texas PA 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 Dermatology of East Texas PA?
- The authorized official listed on Dermatology of East Texas PA's NPPES record is Kyle Jenkins, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dermatology of East Texas PA's NPI active?
- Yes — Dermatology of East Texas PA's NPI (1679905673) is active in the NPPES registry as of the last update on 2025-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.