Active NPI
Mary E Hartman, M.D.
- MOHS-Micrographic Surgery Physician
- Santa Barbara, CA
National Provider Identifier
1437156684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- G45846
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
601 E Arrellaga St
Suite 101
Santa Barbara, CA 93103-2275
Phone (805) 687-5538
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 383 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 37 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G45846 | CA | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology & Laser Centre, Inc | Current | Accepting new patients | |
| Alexis Dougherty, Inc | Current | Accepting new patients | |
| John Muir Health | Past | 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
- 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.
-
- Dermatology Physician
- Santa Barbara, CA
- NPI 1568832657
-
- Dermatology Physician
- Danville, CA
- NPI 1427488618
-
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.