Individual provider Active NPI

Karen Laszlo Keller, MD

  • Dermatology Physician
  • Burlingame, CA
National Provider Identifier
1437157054
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A67381 Issued in CA
Practice address
1750 El Camino Real
Ste 206
Burlingame, CA 94010-3214
Phone
(650) 692-0182
Fax
(650) 692-7741
NPI assigned
Jul 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A67381 CA Primary

Addresses

Primary practice location

1750 El Camino Real
Ste 206
Burlingame, CA 94010-3214

Mailing address

1750 El Camino Real
Ste 206
Burlingame, CA 94010-3214
Phone (650) 692-0182

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
I20080806000740 CA Practitioner - Dermatology 3375617590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Miami, LM Miller School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peninsula Dermatology Medical Group IncGroup PAC ID 4082658422, 4 clinicians

Practice addresses (Care Compare)

1750 El Camino Rea
Suite 206
Burlingame, CA 94010-3214
Phone (650) 692-0182

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1090
Removal or shaving of skin growth18
Skin biopsy432

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A67381CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Dermatology Medical Group Inc Dermatology CurrentSince Jan 15, 1999 Accepting new patients
Mills-Peninsula Health Services Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Locations

1750 El Camino Real
Ste 206
Burlingame, CA 94010
Phone (650) 692-0182

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1437157054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 EL CAMINO REAL",
            "address_2": "STE 206",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103214",
            "telephone_number": "650-692-0182",
            "fax_number": "650-692-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 EL CAMINO REAL",
            "address_2": "STE 206",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103214",
            "telephone_number": "650-692-0182",
            "fax_number": "650-692-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "KAREN",
        "middle_name": "LASZLO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A67381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

Verify at the official NPI Registry.