Active NPI
Mary Kate Rohan, M.D.
- Specialist
- Anaheim, CA
National Provider Identifier
1235211194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G73700
- Practice address
- 1211 W la Palma Ave Ste 407
Anaheim, CA 92801-2806 - Phone
- (714) 284-4912
- Fax
- (714) 284-4819
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G73700 | CA | Primary |
Addresses
Primary practice location
1211 W la Palma Ave Ste 407
Anaheim, CA 92801-2806
Mailing address
1211 W la Palma Ave Ste 407
Anaheim, CA 92801-2806
Phone (714) 284-4912
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of California, Irvine, California College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1211 W la Palma Ave
Suite 407
Anaheim, CA 92801-2806
Phone (714) 284-4912
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1077 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G73700 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Kate Rohan M.D., Inc | Current | Accepting new patients | |
| Brodsky Dermatology and Skin Cancer, PC | Past | Accepting new patients |
Locations
1211 W La Palma Ave
Ste 407
Anaheim, CA 92801
Phone (714) 284-4912
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.
-
- Dermatology Physician
- Anaheim, CA
- NPI 1811175599
-
- Dermatology Physician
- Anaheim, CA
- NPI 1720942287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235211194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 W LA PALMA AVE STE 407",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012806",
"telephone_number": "714-284-4912",
"fax_number": "714-284-4819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 W LA PALMA AVE STE 407",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012806",
"telephone_number": "714-284-4912",
"fax_number": "714-284-4819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROHAN",
"first_name": "MARY",
"middle_name": "KATE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G73700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.