Active NPI
Michael Steven McLemore, MD
- Dermatopathology Physician
- Burbank, CA
National Provider Identifier
1265727333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- A127019
- Practice address
- 2220 N Screenland Dr Ste 101
Burbank, CA 91505-1137 - Phone
- (323) 935-8800
- NPI assigned
- Jun 16, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | A127019 | CA | Primary |
Addresses
Primary practice location
2220 N Screenland Dr Ste 101
Burbank, CA 91505-1137
Mailing address
54 New Hyde Park Rd
Garden City, NY 11530-3909
Phone (516) 488-1313
Other practice location 1
54 New Hyde Park Rd
Garden City, NY 11530-3909
Phone (516) 488-1313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.23 of 100
- Promoting interoperability
- 88
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A127019 | CA | MD | Dermatopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Island Jewish Medical Center | Past | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients |
Interoperability endpoints
- mmclemore@dcm-ca.emadirect.md
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 and National Provider Directory roles.
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
- General Acute Care Hospital
- Vallejo, CA
- NPI 1366686248
-
- General Acute Care Hospital
- Davis, CA
- NPI 1770532608
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
-
- Children's Hospital
- New Hyde Park, NY
- NPI 1174530349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1265727333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 NEW HYDE PARK RD",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115303909",
"telephone_number": "516-488-1313",
"fax_number": "516-488-1368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 N SCREENLAND DR STE 101",
"city": "BURBANK",
"state": "CA",
"postal_code": "915051137",
"telephone_number": "323-935-8800"
}
],
"practiceLocations": [
{
"address_1": "54 New Hyde Park Rd",
"address_purpose": "LOCATION",
"city": "Garden City",
"state": "NY",
"postal_code": "115303909",
"country_code": "US",
"telephone_number": "516-488-1313",
"fax_number": "516-488-1368",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCLEMORE",
"first_name": "MICHAEL",
"middle_name": "STEVEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-16",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "CA",
"license": "A127019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.