Individual provider Active NPI

Danielle E Levine, MD

  • Dermatology Physician
  • Boston, MA
National Provider Identifier
1194037408
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
258369 Issued in MA
Practice address
221 Longwood Ave
Dermatology Department
Boston, MA 02115-5804
Phone
(617) 732-4918
Fax
(617) 582-6060
NPI assigned
Jul 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 245072 MA
Dermatology Physician 207N00000X 258369 MA Primary

Addresses

Primary practice location

221 Longwood Ave
Dermatology Department
Boston, MA 02115-5804

Mailing address

221 Longwood Ave
Dermatology Department
Boston, MA 02115-5804
Phone (617) 732-4918

Other names 1

  • Danielle Molofsky Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20160202001502 TN Practitioner - Dermatology 7911153275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tufts University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Levy Dermatology, PCGroup PAC ID 9032263538, 15 clinicians

Practice addresses (Care Compare)

6254 Poplar Ave
Memphis, TN 38119-4713
Phone (901) 624-3333

Merit-based Incentive Payment System (MIPS)

Final score
62.71 of 100Reported as individual
Quality
33.29
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision60
Removal of tissue1-10
Removal of skin lesions229
Removal of skin cancer192
Skin biopsy127

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Levy Dermatology, PC Dermatology CurrentSince Feb 16, 2016 Accepting new patients
Dr. Adam T Keres LLC. Past Accepting new patients

Locations

6254 Poplar Ave
Memphis, TN 38119
Phone (901) 624-3333

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": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1194037408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 LONGWOOD AVE",
            "address_2": "DERMATOLOGY DEPARTMENT",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155804",
            "telephone_number": "617-732-4918",
            "fax_number": "617-582-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 LONGWOOD AVE",
            "address_2": "DERMATOLOGY DEPARTMENT",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155804",
            "telephone_number": "617-732-4918",
            "fax_number": "617-582-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "DANIELLE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-02",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "245072",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "258369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "MOLOFSKY",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.