Active NPI
Elie Levy, M.D.
- Dermatology Physician
- Burien, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD00034385
- 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, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- 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 100
- Quality
- 81.52
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 269 |
| Removal of skin cancer | 1-10 |
| Removal or shaving of skin growth | 146 |
| Skin biopsy | 24 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00000034385 | WA | MD | Specialist |
| MD00034385 | WA | MD | MOHS-Micrographic Surgery Physician |
| ASF.FS.60099259 | WA | MD | Ambulatory Surgical Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aesthetic & General Dermatology of Seattle | Specialist | Current | Accepting new patients |
| Aesthetic & General Dermatology of Seattle | Ambulatory Surgical | Current | 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.
-
- Specialist
- Burien, WA
- NPI 1518962935
-
- Ambulatory Surgical Clinic/Center
- Burien, WA
- NPI 1902043284
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.