Individual provider Active NPI

Andrew B Menkes, M.D.

  • Procedural Dermatology Physician
  • Mountain View, CA
National Provider Identifier
1306905088
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
A31887 Issued in CA
Practice address
2490 Hospital Drive
Suite 201
Mountain View, CA 94040
Phone
(650) 962-4600
Fax
(650) 962-4601
NPI assigned
Dec 8, 2006
Last updated
May 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X A31887 CA Primary

Addresses

Primary practice location

2490 Hospital Drive
Suite 201
Mountain View, CA 94040

Mailing address

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

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
I20070530000304 CA Practitioner - Dermatology 2365439247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

355 Lennon LN
Suite 255
Walnut Creek, CA 94598-2496
Phone (925) 932-7704

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision26
Removal of skin lesions1070
Removal of skin cancer104
Removal or shaving of skin growth41
Skin biopsy17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A31887CAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Dermatology Associates Inc. Dermatology CurrentSince Mar 7, 2020 Accepting new patients
Golden State Dermatology Associates, Inc. CurrentSince Mar 7, 2020 Accepting new patients
Orchard Creek Surgery Center PastSince Apr 30, 2004 Accepting new patients
The Menkes Surgery Center PastSince May 7, 2009 Accepting new patients
El Camino Hospital Past Accepting new patients

Locations

1200 Central Blvd
Ste D
Brentwood, CA 94513
Phone (925) 308-9510

2490 Hospital Dr
Ste 201
Mountain View, CA 94040
Phone (650) 285-4661

370 N Wiget Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 278-7592

355 Lennon Ln
Ste 255
Walnut Creek, CA 94598
Phone (925) 932-7704

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1306905088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 HOSPITAL DRIVE",
            "address_2": "SUITE 201",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "94040",
            "telephone_number": "650-962-4600",
            "fax_number": "650-962-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 HOSPITAL DRIVE",
            "address_2": "SUITE 201",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "94040",
            "telephone_number": "650-962-4600",
            "fax_number": "650-962-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENKES",
        "first_name": "ANDREW",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A31887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.