Active NPI
Samir P. Master, M.D.
- Dermatology Physician
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD60153580
- 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, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 71.77
- Promoting interoperability
- 0
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 110 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 27 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60153580 | WA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Arts, PLLC | Dermatology | Current | 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.
-
dba Dermatology Arts
- Medical Specialty Clinic/Center
- Bellevue, WA
- NPI 1790103430
Dermatology
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.