George Keith Llewellyn, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A80609 Issued in CA

Practice address

1722 State St
Ste 103
Santa Barbara, CA 93101-2526

Phone

(805) 884-4900

Fax

(805) 884-4900

NPI assigned

Mar 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Dermatology

Education

University of Cincinnati College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

George Keith Llewellyn, MD, Inc.Group PAC ID 4587711817, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107

Merit-based Incentive Payment System (MIPS)

Final score

70 of 100Reported as group

Quality

90

Improvement activities

20

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HIIGAA/Endpoint/HIIGAA

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.

• George Keith Llewellyn, MD, Inc.

  • Dermatology Physician
  • Santa Barbara, CA
  • NPI 1689813560
  Medicare reassignment Care Compare group Authorized official

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

• Dignity Health

  • General Acute Care Hospital
  • Santa Maria, CA
  • NPI 1760510937
  Care Compare affiliation

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1083673735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 STATE ST",
            "address_2": "STE 103",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012526",
            "telephone_number": "805-884-4900",
            "fax_number": "805-884-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 STATE ST",
            "address_2": "STE 103",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012526",
            "telephone_number": "805-884-4900",
            "fax_number": "805-884-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLEWELLYN",
        "first_name": "GEORGE",
        "middle_name": "KEITH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A80609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A806090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Livingood
• Liza G. Presser Belkin M.D. Inc
• Liza G. Presser Belkin M.D. Inc
• Nicole Asuka Llamas, MA
• Carl Angelo Llanos, RN
• Allegra Eliot Lobell, MD
• Michael Andrew Lockwood
• Josette Louise Lodato
• Jillian Dawn Loewen, NP
• Patrick David Loftus, MD

• Dermatology Physician in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.

Verify at the official NPI Registry.