Individual provider Active NPI

Robert Stephen Dye, M.D.

  • Procedural Dermatology Physician
  • Agoura Hills, CA
National Provider Identifier
1215095179
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
A65562 Issued in CA
Practice address
29525 Canwood St
Suite #219
Agoura Hills, CA 91301-4233
Phone
(818) 865-8133
Fax
(818) 865-1223
NPI assigned
Dec 4, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A65562 CA
MOHS-Micrographic Surgery Physician 207ND0101X A65562 CA
Dermatopathology Physician 207ND0900X A65562 CA
Procedural Dermatology Physician 207NS0135X A65562 CA Primary

Addresses

Primary practice location

29525 Canwood St
Suite #219
Agoura Hills, CA 91301-4233

Mailing address

29525 Canwood St
Suite #219
Agoura Hills, CA 91301-4233
Phone (818) 865-8133

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
I20070410000737 CA Practitioner - Dermatology 9537264197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11633 San Vicente Blvd
Suite 230
Los Angeles, CA 90049-6513
Phone (310) 826-3376

29525 Canwood St
Suite 219
Agoura Hills, CA 91301-4231
Phone (818) 865-8133

Merit-based Incentive Payment System (MIPS)

Final score
60.36 of 100Reported as individual
Quality
82.48
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision419
Removal of tissue1-10
Removal of skin lesions6508
Removal of skin cancer807
Removal of nail tissue1-10
Removal or shaving of skin growth574
Skin biopsy1762

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A65562CAMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Stephen Dye, M.D. Apc Procedural Dermatology CurrentSince Apr 10, 2007 Accepting new patients
James H.Sternberg, M.D. a Medical Corporation Dermatology Past Accepting new patients

Locations

29525 Canwood St
Ste 219
Agoura Hills, CA 91301
Phone (818) 865-8133

10921 Wilshire Blvd
Ste 410
Los Angeles, CA 90024
Phone (310) 208-8688

11633 San Vicente Blvd
Ste 230
Los Angeles, CA 90049
Phone (310) 826-3376

Interoperability endpoints

  • Direct secure messaging: drrobertdye@dermatologyandaesthetics.emadirect.md

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, 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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1215095179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29525 CANWOOD ST",
            "address_2": "SUITE #219",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014233",
            "telephone_number": "818-865-8133",
            "fax_number": "818-865-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29525 CANWOOD ST",
            "address_2": "SUITE #219",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014233",
            "telephone_number": "818-865-8133",
            "fax_number": "818-865-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYE",
        "first_name": "ROBERT",
        "middle_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A65562",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A65562",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "A65562",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A65562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

Verify at the official NPI Registry.