SANOVA DERMATOLOGY PLLC
NPI 1689957169
Dermatology in Austin, TX
NPI Status: Active since September 21, 2011
Contact Information
12319 N MOPAC EXPY STE 100
AUSTIN, TX
ZIP 78758
Phone: (512) 837-3376
Fax: (512) 837-3377
- Organization
- Dermatology
- Accepts Insurance
- CLIA Number: 45D2037209
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-14-2026
About SANOVA DERMATOLOGY PLLC
This page provides the complete NPI Profile along with additional information for Sanova Dermatology Pllc, a provider established in Austin, Texas operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1689957169 assigned on September 2011. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated June 2025. Sanova Dermatology Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Edward Lain Md (President/md)
- NPI
- 1689957169
- Provider Name
- SANOVA DERMATOLOGY PLLC
- Entity Type
- Organization
- Location Address
- 12319 N MOPAC EXPY STE 100 AUSTIN, TX 78758
- Location Phone
- (512) 837-3376
- Location Fax
- (512) 837-3377
- Mailing Address
- PO BOX 746768 ATLANTA, GA 30374
- Mailing Phone
- (512) 837-3376
- Mailing Fax
- (512) 837-3377
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-21-2011
- Last Update Date
- 06-13-2025
- Code Navigator
A dermatologist like Sanova Dermatology Pllc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
- Sendero Health Austin512 Silver / $40 PCP / $75 Specialist / $15 Generic Drugs / $0 Deductible - HMO
- Sendero Health Capital Silver / $40 PCP / $80 Specialist / $20 Generic Drugs - HMO
- Sendero Health Hill Country Gold / $30 PCP / $60 Specialist / $15 Generic Drugs - HMO
- Sendero Health Original Silver / $20 PCP + 2 $0 PCP Visits / $10 Generic Drugs - HMO
- Sendero Health Preferred Bronze / $25 PCP / $75 Specialist / $22 Generic Drugs - HMO
- Sendero Health Quality Care Bronze High Deductible / $50 PCP / $25 Generic Drugs / $100 Specialist - HMO
- Sendero Health Real Gold / $350 Deductible - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2037209
- Facility Type
- Physician Office
- Certificate Effective Date
- July 15, 2024
- Certificate Expiration Date
- July 14, 2026
- Laboratory Director
- MEGAN E. SHELTON
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Sanova Dermatology Pllc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 8 | 9 | 9 | 5 | 7 | 1 | 6 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 16 | 9 | 18 | 5 | 14 | 1 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 6 + 9 + 1 + 8 + 5 + 1 + 4 + 1 + 1 + 2 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1689957169 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1770945719 | HELYN ALVAREZ MD Individual | Dermatology | 12319 N MOPAC EXPY STE 100 AUSTIN, TX 78758 (512) 837-3376 |
| 1265828362 | MEGAN ELIZABETH SHELTON MD Individual | Dermatology | 12319 N MOPAC EXPY STE 100 AUSTIN, TX 78758 (512) 837-3376 |
| 1598565392 | STEPHANIE ELAINE LITTLE PA-C Individual | Physician Assistant | 12319 N MOPAC EXPY STE 100 AUSTIN, TX 78758 (512) 837-3376 |
| 1366162208 | HANEEN ISSA Individual | Physician Assistant | 12319 N MOPAC EXPY STE 100 AUSTIN, TX 78758 (832) 231-8361 |
| 1487951844 | MR. DANIEL BARRON RPAC Individual | Physician Assistant | 12319 N MOPAC EXPY STE 100 AUSTIN, TX 78758 (512) 837-3376 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689957169, enumerated in the NPI registry as an "organization" on September 21, 2011
The provider is located at 12319 N Mopac Expy Ste 100 Austin, Tx 78758 and the phone number is (512) 837-3376
This medical organization specializes in Dermatology with taxonomy code 207N00000X
The provider might be accepting Accepts: Aetna CVS Health and Sendero Health Plans, Local. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 45D2037209 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on September 21, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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