Individual provider Active NPI

Mary E Hartman, M.D.

  • MOHS-Micrographic Surgery Physician
  • Santa Barbara, CA
National Provider Identifier
1437156684
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
G45846 Issued in CA
Practice address
601 E Arrellaga St Ste 101
Santa Barbara, CA 93103-2275
Phone
(805) 687-5538
Fax
(805) 687-5530
NPI assigned
Jul 1, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X G45846 CA Primary

Addresses

Primary practice location

601 E Arrellaga St Ste 101
Santa Barbara, CA 93103-2275

Mailing address

PO Box 1206
Goleta, CA 93116-1206
Phone (805) 687-5538

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
I20051027001220 CA Practitioner - Dermatology 0749207033 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Miami, LM Miller School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alexis Dougherty IncGroup PAC ID 2769792118, 3 clinicians

Practice addresses (Care Compare)

601 E Arrellaga St
Suite 101
Santa Barbara, CA 93103-2275
Phone (805) 687-5538

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions383
Removal or shaving of skin growth1-10
Skin biopsy37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G45846CAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology & Laser Centre, Inc CurrentSince Mar 30, 2019 Accepting new patients
Alexis Dougherty, Inc CurrentSince Feb 1, 2024 Accepting new patients
John Muir Health PastSince Mar 30, 2019 Accepting new patients

Locations

770 San Ramon Valley Blvd
Danville, CA 94526
Phone (925) 820-3376

601 E Arrellaga St
Ste 101
Santa Barbara, CA 93103
Phone (805) 687-5538

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00346

Organizations & group practices 3

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1437156684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1206",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931161206",
            "telephone_number": "805-687-5538",
            "fax_number": "805-687-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E ARRELLAGA ST STE 101",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931032275",
            "telephone_number": "805-687-5538",
            "fax_number": "805-687-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "G45846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.