Daniel Levy, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD60014608 Issued in WA

Practice address

21137 State Route 410 E Ste I
Bonney Lake, WA 98391-8775

Phone

(253) 862-5275

Fax

(855) 673-1403

NPI assigned

May 1, 2007

Last updated

Sep 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, TX2 enrollments

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 2

Specialty

Dermatology

Education

Albert Einstein College of Medicine of Yeshiva University, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lark DermatologyGroup PAC ID 8820423981, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00377

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.

• Lark Dermatology

  • Dermatology Physician
  • Bonney Lake, WA
  • NPI 1982256970
  Medicare reassignment Care Compare group NPD Authorized official
• Innovative Wound Healing & Dermatology

  • Dermatology Physician
  • Bonney Lake, WA
  • NPI 1538741053
  Medicare reassignment Authorized official
• Integrity Wound Care LLC

  • Dermatology Physician
  • San Antonio, TX
  • NPI 1750142071
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1306067814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21137 STATE ROUTE 410 E STE I",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918775",
            "telephone_number": "253-862-5275",
            "fax_number": "855-673-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21137 STATE ROUTE 410 E STE I",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918775",
            "telephone_number": "253-862-5275",
            "fax_number": "855-673-1403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 Babcock Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782013120",
            "country_code": "US",
            "telephone_number": "800-494-7759",
            "fax_number": "253-750-5151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVY",
        "first_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD60014608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Bonney Lake, WA
• Providers in Bonney Lake, WA by specialty
• Dermatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.

Verify at the official NPI Registry.