Individual provider Active NPI

Anne McLaurin Likosky, MD

  • Dermatology Physician
  • Kirkland, WA
National Provider Identifier
1093879058
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD00037944 Issued in WA
Practice address
12333 NE 130TH LN
Suite 330
Kirkland, WA 98034-7467
Phone
(425) 899-3376
Fax
(425) 899-4131
NPI assigned
Dec 21, 2006
Last updated
Mar 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD00037944 WA Primary

Addresses

Primary practice location

12333 NE 130TH LN
Suite 330
Kirkland, WA 98034-7467

Mailing address

12333 NE 130TH LN
Suite 330
Kirkland, WA 98034-7467
Phone (425) 899-3376

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
I20101215000262 WA Practitioner - Dermatology 4981596848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Arizona College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kirkland Dermatology Associates, PLLCGroup PAC ID 0648162602, 4 clinicians

Practice addresses (Care Compare)

11800 NE 128TH St
Suite 450
Kirkland, WA 98034-7211
Phone (425) 899-3376

Merit-based Incentive Payment System (MIPS)

Final score
57.85 of 100Reported as individual
Quality
55
Promoting interoperability
42
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions452
Removal or shaving of skin growth1-10
Skin biopsy238

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00037944WAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kirkland Dermatology Associates, PLLC Dermatology CurrentSince Oct 1, 2002 Accepting new patients

Locations

11800 NE 128th St
Ste 450
Kirkland, WA 98034
Phone (425) 899-3376

12333 NE 130th Ln
Ste 330
Kirkland, WA 98034
Phone (425) 899-3376

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1093879058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12333 NE 130TH LN",
            "address_2": "SUITE 330",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347467",
            "telephone_number": "425-899-3376",
            "fax_number": "425-899-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12333 NE 130TH LN",
            "address_2": "SUITE 330",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347467",
            "telephone_number": "425-899-3376",
            "fax_number": "425-899-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIKOSKY",
        "first_name": "ANNE",
        "middle_name": "MCLAURIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00037944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.