Individual provider Active NPI

Molly Marous, MD

  • Dermatology Physician
  • Pittsburgh, PA
National Provider Identifier
1063909083
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD479804 Issued in PA
Practice address
1380 Old Freeport Rd Ste 1a
Pittsburgh, PA 15238-3127
Phone
(412) 967-1192
NPI assigned
Apr 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X MD479804 PA
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X MD479804 PA Primary

Addresses

Primary practice location

1380 Old Freeport Rd Ste 1a
Pittsburgh, PA 15238-3127

Mailing address

1380 Old Freeport Rd Ste 1a
Pittsburgh, PA 15238-3127

Other practice location 1

Allegheny General Hospital
320 East North Avenue
Pittsburgh, PA 15212
Phone (412) 359-4971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230602000416 PA Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 2264770478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Margaret S. Lally, LLCGroup PAC ID 4486647351, 3 clinicians

Practice addresses (Care Compare)

1382 Old Freeport Rd
Pittsburgh, PA 15238-3159
Phone (412) 967-1192

Merit-based Incentive Payment System (MIPS)

Final score
94.07 of 100Reported as group
Quality
100
Improvement activities
40
Cost
80.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision30
Removal of skin lesions142
Removal of skin cancer185
Skin biopsy157

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Margaret S. Lally, LLC Dermatology CurrentSince Aug 14, 2024 Accepting new patients
Allegheny Clinic PastSince Aug 14, 2024 Accepting new patients

Locations

1380 Old Freeport Rd
Ste 1A
Pittsburgh, PA 15238
Phone (412) 967-1192

1382 Old Freeport Rd
Ste 1
Pittsburgh, PA 15238
Phone (412) 967-1192

1382 Old Freeport Rd
Pittsburgh, PA 15238
Phone (412) 359-5115

1382 Old Freeport Rd
Rear
Pittsburgh, PA 15238
Phone (412) 967-1192

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1063909083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 OLD FREEPORT RD STE 1A",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152383127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 OLD FREEPORT RD STE 1A",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152383127",
            "telephone_number": "412-967-1192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Allegheny General Hospital",
            "address_2": "320 East North Avenue",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "15212",
            "country_code": "US",
            "telephone_number": "412-359-4971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAROUS",
        "first_name": "MOLLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "PA",
            "license": "MD479804",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD479804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.