Individual provider Active NPI

Michael Steven McLemore, MD

  • Dermatopathology Physician
  • Burbank, CA
National Provider Identifier
1265727333
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
A127019 Issued in CA
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

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.23 of 100Reported as group
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A127019CAMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.