Individual provider Active NPI

Jeffrey J Crowley, M.D.

  • Dermatology Physician
  • Bakersfield, CA
National Provider Identifier
1073500278
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G77643 Issued in CA
Practice address
5101 Commerce Dr
Suite 101
Bakersfield, CA 93309-0411
Phone
(661) 327-3756
Fax
(661) 327-2332
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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 G77643 CA
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X G77643 CA
Dermatology Physician 207N00000X G77643 CA Primary

Addresses

Primary practice location

5101 Commerce Dr
Suite 101
Bakersfield, CA 93309-0411

Mailing address

5101 Commerce Dr
Suite 101
Bakersfield, CA 93309-0411
Phone (661) 327-3756

Other identifiers 1

IdentifierTypeStateIssuer
1538214804OtherGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040224000989 CA Practitioner - Dermatology 9234036385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Stanford University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey J Crowley MD IncGroup PAC ID 5698672749, 3 clinicians

Practice addresses (Care Compare)

5101 Commerce Dr
Suite 101
Bakersfield, CA 93309-0412
Phone (661) 327-3756

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.75 of 100Reported as group
Quality
49.06
Improvement activities
40
Cost
70.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision354
Removal of skin lesions5885
Removal of skin cancer586
Removal or shaving of skin growth323
Skin biopsy375

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G77643CAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey J. Crowley, M.D., Inc. Dermatology CurrentSince Apr 1, 2001 Accepting new patients

Locations

5101 Commerce Dr
Ste 101
Bakersfield, CA 93309
Phone (661) 327-3756

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1073500278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 COMMERCE DR",
            "address_2": "SUITE 101",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090411",
            "telephone_number": "661-327-3756",
            "fax_number": "661-327-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 COMMERCE DR",
            "address_2": "SUITE 101",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090411",
            "telephone_number": "661-327-3756",
            "fax_number": "661-327-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "G77643",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "CA",
            "license": "G77643",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G77643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1538214804",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.