Individual provider Active NPI

Samir P. Master, M.D.

  • Dermatology Physician
  • Bellevue, WA
National Provider Identifier
1023144094
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD60153580 Issued in WA
Practice address
1414 116TH Ave NE Ste E
Bellevue, WA 98004-3801
Phone
(425) 753-2918
NPI assigned
Feb 26, 2007
Last updated
Dec 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD60153580 WA Primary
Procedural Dermatology Physician 207NS0135X MD60153580 WA

Addresses

Primary practice location

1414 116TH Ave NE Ste E
Bellevue, WA 98004-3801

Mailing address

PO Box 958
Mercer Island, WA 98040-0958
Phone (650) 302-2624

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address samir@dermarts.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101006001079 WA Practitioner - Dermatology 9931391166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Northwestern University Feinberg Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Arts PLLCGroup PAC ID 5597985317, 7 clinicians

Practice addresses (Care Compare)

1414 116TH Ave NE
Suite E
Bellevue, WA 98004-3801

Merit-based Incentive Payment System (MIPS)

Final score
54.48 of 100Reported as group
Quality
71.77
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions110
Removal or shaving of skin growth1-10
Skin biopsy27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60153580WAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Arts, PLLC Dermatology CurrentSince Jun 29, 2014 Accepting new patients

Locations

1414 116th Ave NE
Ste E
Bellevue, WA 98004
Phone (425) 454-5311

832 102nd Ave NE
Bellevue, WA 98004
Phone (425) 753-2918

3040 78th Ave SE
Unit 958
Mercer Island, WA 98040

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1023144094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 958",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980400958",
            "telephone_number": "650-302-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 116TH AVE NE STE E",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043801",
            "telephone_number": "425-753-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTER",
        "first_name": "SAMIR",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD60153580",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "WA",
            "license": "MD60153580",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samir@dermarts.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "EMA Direct Mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1414 116th Ave NE Ste E",
            "city": "Bellevue",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980043801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.