Individual provider Active NPI

Allison Leslie Hughes, MD, PHD

  • Dermatology Physician
  • Mercer Island, WA
National Provider Identifier
1194777805
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD00044994 Issued in WA
Practice address
2835 82ND Ave SE
Ste 210
Mercer Island, WA 98040-3055
Phone
(206) 236-3030
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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 4301079783 MI
Dermatology Physician 207N00000X MD00044994 WA Primary

Addresses

Primary practice location

2835 82ND Ave SE
Ste 210
Mercer Island, WA 98040-3055

Mailing address

2835 82ND Ave SE
Ste 210
Mercer Island, WA 98040-3055
Phone (206) 236-3030

Other identifiers 4

IdentifierTypeStateIssuer
201981170OtherMIWAUSAU
201981170OtherMIHARRINGTON BENEFITS
010E018410OtherMIBCBSM
7729795OtherMIAETNA

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
I20070105000342 WA Practitioner - Dermatology 8325050255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Chicago College of Medicine and Surgery, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercer Island Dermatology PLLCGroup PAC ID 1052495736, 3 clinicians

Practice addresses (Care Compare)

2835 82ND Ave SE
Suite 210
Mercer Island, WA 98040-3055
Phone (206) 236-3030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of skin lesions31
Removal or shaving of skin growth1-10
Skin biopsy22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301079783MIMDDermatology Physician
MD00044994WAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercer Island Dermatology PLLC Dermatology CurrentSince Dec 20, 2007 Accepting new patients
Vein Center at Allure Medical Spa, PLLC Dermatology Past Accepting new patients

Locations

2835 82nd Ave SE
Ste 210
Mercer Island, WA 98040
Phone (206) 236-3030

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1194777805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 82ND AVE SE",
            "address_2": "STE 210",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403055",
            "telephone_number": "206-236-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 82ND AVE SE",
            "address_2": "STE 210",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403055",
            "telephone_number": "206-236-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "ALLISON",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301079783",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00044994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WAUSAU",
            "identifier": "201981170",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARRINGTON BENEFITS",
            "identifier": "201981170",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "010E018410",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7729795",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer Island, WA

Sources for this page

Verify at the official NPI Registry.