Active NPI
Stanton S Lebouitz, M.D.
- Dermatology Physician
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD011092E
- Practice address
- 1936 Powder Mill Rd
York, PA 17402-4725 - Phone
- (717) 741-0811
- Fax
- (717) 741-9499
- NPI assigned
- Nov 3, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD011092E | PA | Primary |
Addresses
Primary practice location
1936 Powder Mill Rd
York, PA 17402-4725
Mailing address
1936 Powder Mill Rd
Suite a
York, PA 17402-4725
Phone (717) 741-0811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006181700002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Hahnemann University College of Medicine, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9501 Roosevelt Blvd
Suite 506
Philadelphia, PA 19114-1030
Phone (215) 676-7200
Hospital & facility affiliations
- Upmc Hanover
- Wellspan York Hospital
- Gettysburg Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.52 of 100
- Quality
- 87.67
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 2755 |
| Skin biopsy | 176 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD011092E | PA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania Dermatology Partners Inc | Dermatology | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1950 Street Rd
Ste 100
Bensalem, PA 19020
Phone (215) 639-7546
258 Ben Franklin Hwy E
Birdsboro, PA 19508
Phone (610) 288-2918
250 Fame Ave
Ste 205
Hanover, PA 17331
Phone (717) 632-1118
250 Fame Ave
Bldg A
Hanover, PA 17331
9501 Roosevelt Blvd
Ste 506
Philadelphia, PA 19114
Phone (215) 676-7200
1936 Powder Mill Rd
Ste A
York, PA 17402
Phone (717) 741-0811
Interoperability endpoints
- slebouitz@pennderm.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 and National Provider Directory roles.
-
- Dermatology Physician
- West Lawn, PA
- NPI 1023382918
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gettysburg, PA
- NPI 1265466957
-
- General Acute Care Hospital
- Hanover, PA
- NPI 1730158981
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400198400000",
"number": "1255322798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1936 POWDER MILL RD",
"address_2": "SUITE A",
"city": "YORK",
"state": "PA",
"postal_code": "174024725",
"telephone_number": "717-741-0811",
"fax_number": "717-741-9499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1936 POWDER MILL RD",
"city": "YORK",
"state": "PA",
"postal_code": "174024725",
"telephone_number": "717-741-0811",
"fax_number": "717-741-9499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBOUITZ",
"first_name": "STANTON",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-03",
"last_updated": "2014-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "PA",
"license": "MD011092E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006181700002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.