Individual provider Active NPI

Todd S Anhalt, MD

  • Dermatology Physician
  • Los Altos, CA
National Provider Identifier
1255316626
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G53965 Issued in CA
Practice address
129 Fremont Ave
Los Altos, CA 94022-3956
Phone
(650) 917-7711
Fax
(650) 917-7712
NPI assigned
Dec 8, 2005
Last updated
Jan 27, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G53965 CA Primary
Dermatopathology Physician 207ND0900X G53965 CA
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X G53965 CA
Pediatric Dermatology Physician 207NP0225X G53965 CA
Procedural Dermatology Physician 207NS0135X G53965 CA

Addresses

Primary practice location

129 Fremont Ave
Los Altos, CA 94022-3956

Mailing address

129 Fremont Ave
Los Altos, CA 94022-3956
Phone (650) 917-7711

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
I20060420000733 CA Practitioner - Dermatology 8921017815 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Albert Einstein College of Medicine of Yeshiva University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Csi Medical GroupGroup PAC ID 5890916845, 104 clinicians

Practice addresses (Care Compare)

129 Fremont Ave
Los Altos, CA 94022-3956
Phone (650) 917-7711

18988 Cox Ave
Suite B
Saratoga, CA 95070-4154
Phone (408) 253-4407

2490 Hospital Dr
Suite 201
Mountain View, CA 94040-4124
Phone (650) 962-4600

Merit-based Incentive Payment System (MIPS)

Final score
85.34 of 100Reported as group
Quality
90.85
Promoting interoperability
87
Improvement activities
40
Cost
71.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue19
Removal of skin lesions864
Removal of nail tissue1-10
Removal or shaving of skin growth16
Skin biopsy57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G53965CAMDClinical & Laboratory Dermatological Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Hospital Past Accepting new patients
California Skin Institute, a Medical Corporation Dermatology Past Accepting new patients
Golden State Dermatology Associates, Inc. Past Accepting new patients
Golden State Dermatology Associates Inc. Dermatology PastSince Jan 20, 2020 Accepting new patients

Organizations & group practices 5

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": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1255316626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 FREMONT AVE",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940223956",
            "telephone_number": "650-917-7711",
            "fax_number": "650-917-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 FREMONT AVE",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940223956",
            "telephone_number": "650-917-7711",
            "fax_number": "650-917-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANHALT",
        "first_name": "TODD",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G53965",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "G53965",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "CA",
            "license": "G53965",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "CA",
            "license": "G53965",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "G53965",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

Verify at the official NPI Registry.