Rawaa Almukhtar, M.D., MPH
Individual provider Active NPI Dermatology Physician · La Jolla, CA
NPI 1003202409 · NPPES record last updated Aug 19, 2022
Key facts
- NPI
- 1003202409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- A161035 (CA)
- Practice address
- 9898 Genesee Ave
La Jolla, CA 92037-1205 - Phone
- (858) 824-5434
- NPI assigned
- Apr 13, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Dermatology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Scripps Health
Practice addresses (Care Compare)
9898 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 455-9100
Hospital & facility affiliations
- Scripps Green Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 154 |
| Removal of skin lesions | 1062 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 82 |
| Skin biopsy | 718 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210719001663 | MI | Practitioner - Dermatology | 3173825528 | Reassigns benefits to 1 organization |
| I20220728002308 | CA | Practitioner - Dermatology | 3173825528 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A161035 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Dermatology | Current |
Accepting new patients |
| Henry Ford Pathology | Current | Accepting new patients | |
| Henry Ford Health System | Current |
Accepting new patients | |
| Scripps Health | Dermatology | Current |
Accepting new patients |
| Scripps Health | Current |
Accepting new patients | |
| Scripps Health | Past | Accepting new patients | |
| Scripps Clinic Medical Group | Past | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Past | Accepting new patients |
Locations
9898 Genesee Ave
La Jolla, CA 92037
Phone (858) 824-5222
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
File 54433
Los Angeles, CA 90074
Phone (858) 784-5645
3811 Valley Centre Dr
San Diego, CA 92130
Phone (858) 554-8645
10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
3031 W Grand Blvd
Detroit, MI 48202
Phone (313) 871-3751
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A161035 | CA | Yes |
Addresses
Primary practice location
9898 Genesee Ave
La Jolla, CA 92037-1205
Mailing address
1 Ford PL Ste 2E
Detroit, MI 48202-3450
Phone (800) 653-6568
Other practice location 1
3811 Valley Centre Dr
San Diego, CA 92130-3318
Phone (858) 764-9040
Other providers in La Jolla, CA
- Allergy and Rheumatology Medical Clinic., Inc
- Tara Alleyasin
- Francis Allinson
- Raquel Almeida Lopes Neves
- Joud Almogati
- Palwasha Alokozai
- Rawan Gasem Alshaikh
- Lynn F Jubelirer Altes
- Frank J Altobello
- Alvarado Surgical Associates, a Medical Group, Inc.
All providers in La Jolla, CA · Dermatology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.