Individual provider Active NPI

Katherine Ferris, M.D.

  • Dermatology Physician
  • Escondido, CA
National Provider Identifier
1346661832
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
135021 Issued in CA
Practice address
504 W Mission Ave Ste 101
Escondido, CA 92025-1603
Phone
(760) 747-1980
Fax
(760) 747-2045
NPI assigned
Dec 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X 135021 CA Primary

Addresses

Primary practice location

504 W Mission Ave Ste 101
Escondido, CA 92025-1603

Mailing address

504 W Mission Ave Ste 101
Escondido, CA 92025-1603
Phone (760) 747-1980

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
I20171009001908 CA Practitioner - Dermatology 9830408657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Miami, LM Miller School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Escondido Dermatology Inc a Professional CorporationGroup PAC ID 0244281384, 2 clinicians

Practice addresses (Care Compare)

504 W Mission Ave
Suite 101
Escondido, CA 92025-1603
Phone (760) 747-1980

Merit-based Incentive Payment System (MIPS)

Final score
97.08 of 100Reported as individual
Quality
94.17
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions945
Removal of skin cancer127
Skin biopsy358

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
135021CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Escondido Dermatology, Inc a Professional Corporation CurrentSince Aug 22, 2017 Accepting new patients

Organizations & group practices 1

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": "1388361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1346661832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 W MISSION AVE STE 101",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251603",
            "telephone_number": "760-747-1980",
            "fax_number": "760-747-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 W MISSION AVE STE 101",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251603",
            "telephone_number": "760-747-1980",
            "fax_number": "760-747-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIS",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-30",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "135021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.