Individual provider Active NPI

Elie Levy, M.D.

  • Dermatology Physician
  • Burien, WA
National Provider Identifier
1427053834
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD00034385 Issued in WA
Practice address
13610 1St Ave S
Burien, WA 98168-3404
Phone
(206) 248-5020
Fax
(206) 244-8425
NPI assigned
Jun 14, 2005
Last updated
Jun 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD00000034385 WA
Ambulatory Surgical Clinic/Center 261QA1903X ASF.FS.60099259 WA
Clinic/Center 261Q00000X ASF.FS.60099259 WA
Dermatology Physician 207N00000X MD00034385 WA Primary
MOHS-Micrographic Surgery Physician 207ND0101X MD00034385 WA
Procedural Dermatology Physician 207NS0135X MD00034385 WA

Addresses

Primary practice location

13610 1St Ave S
Burien, WA 98168-3404

Mailing address

13610 1St Ave S
Burien, WA 98168-3404
Phone (206) 248-5020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20040726001109 WA Practitioner - DermatologyPractitioner - PathologyPractitioner - Plastic and Reconstructive SurgeryPractitioner - Surgical Oncology 9739077447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology, Plastic and Reconstructive Surgery, Surgical Oncology
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13610 1St Ave S
Burien, WA 98168-3404
Phone (206) 248-5020

1600 116TH Ave NE
Suite 306
Bellevue, WA 98004-3057
Phone (425) 455-5111

Merit-based Incentive Payment System (MIPS)

Final score
90.76 of 100Reported as group
Quality
81.52
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions269
Removal of skin cancer1-10
Removal or shaving of skin growth146
Skin biopsy24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00000034385WAMDSpecialist
MD00034385WAMDMOHS-Micrographic Surgery Physician
ASF.FS.60099259WAMDAmbulatory Surgical Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic & General Dermatology of Seattle Specialist CurrentSince Jun 24, 2004 Accepting new patients
Aesthetic & General Dermatology of Seattle Ambulatory Surgical CurrentSince Jun 24, 2004 Accepting new patients

Locations

1600 116th Ave NE
Ste 302
Bellevue, WA 98004
Phone (206) 455-5440

13610 1st Ave S
Burien, WA 98168
Phone (206) 248-5020

16110 8th Ave SW
Ste B1
Burien, WA 98166
Phone (206) 248-5020

Organizations & group practices 2

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1427053834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13610 1ST AVE S",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981683404",
            "telephone_number": "206-248-5020",
            "fax_number": "206-244-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13610 1ST AVE S",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981683404",
            "telephone_number": "206-248-5020",
            "fax_number": "206-244-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "ELIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00000034385",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "ASF.FS.60099259",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "ASF.FS.60099259",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00034385",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WA",
            "license": "MD00034385",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "WA",
            "license": "MD00034385",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

Verify at the official NPI Registry.