Andrew Breithaupt, M.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

A118094 Issued in CA

Practice address

200 Med PLZ
Suite 450
Los Angeles, CA 90095-0001

Phone

(310) 825-6911

NPI assigned

Jun 25, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Micrographic Dermatologic Surgery (MDS)Also: Dermatology

Education

University of California, San Diego School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Island Dermatology, Inc.Group PAC ID 1850395070, 27 clinicians

Simone a McKitty MD IncGroup PAC ID 0941522635, 2 clinicians

Csi Medical GroupGroup PAC ID 5890916845, 104 clinicians

Lawrence Rivkin MD a Med CorpGroup PAC ID 4981892171, 7 clinicians

Dermatology Associates of Beverly HillsGroup PAC ID 5799215687, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.66 of 100Reported as group

Promoting interoperability

92

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

89.16 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

63.86

Merit-based Incentive Payment System (MIPS)

Final score

95.75 of 100Reported as individual

Promoting interoperability

95

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (9 of 10)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: andrew.breithaupt@schweigerderm.emadirect.md
• Direct secure messaging: drbreithaupt@csisouthca.emadirect.md

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.

• Csi Medical Group

  • MOHS-Micrographic Surgery Physician
  • San Pedro, CA
  • NPI 1871909804

  CA, Mohs-Micrographic Surgery

  Medicare reassignment Care Compare group NPD
• Dermatology Associates of Beverly Hills

  • Dermatology Physician
  • Beverly Hills, CA
  • NPI 1649098971

  CA

  Medicare reassignment Care Compare group NPD
• Lawrence Rivkin MD a Med Corp

  • Procedural Dermatology Physician
  • Beverly Hills, CA
  • NPI 1518066141

  CA

  Medicare reassignment Care Compare group NPD
• Simone a McKitty MD Inc

  • Dermatology Physician
  • Torrance, CA
  • NPI 1154723625

  CA

  Medicare reassignment Care Compare group NPD
• Island Dermatology, Inc

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1508815556

  CA

  Medicare reassignment Care Compare group
• James Wu MD Inc

  • Dermatology Physician
  • Hawthorne, CA
  • NPI 1134785785

  CA

  Medicare reassignment NPD
• Vincent C Hung MD, Inc

  • Specialist
  • Pasadena, CA
  • NPI 1396911608

  CA

  Medicare reassignment NPD
• Wu Enterprise Inc.

  • Procedural Dermatology Physician
  • Long Beach, CA
  • NPI 1881352581
  NPD
• Newport Plastic Surgery Inc

  • Plastic Surgery Physician
  • Newport Beach, CA
  • NPI 1700192754
  NPD (past)
• Torrance Memorial Medical Center

  • Skilled Nursing Facility
  • Torrance, CA
  • NPI 1740268713
  NPD (past)

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1437460359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MED PLZ",
            "address_2": "SUITE 450",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-825-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MED PLZ",
            "address_2": "SUITE 450",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-825-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITHAUPT",
        "first_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A118094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NewportBeach",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "200 Med Plz",
            "address_2": "Suite 450",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900950001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Josie Breger, LCSW
• Denise Breheny, IBCLC, RN
• Joseph Steven Breisinger, PT, DPT
• Sarah Jean Breismeister
• Hannah Helene Shaker Breit, M.D.
• Barbara Lynn Breitman, LMFT
• Sue Brekka, MFT
• Brelian Medical Inc.
• Daniel Brelian, M.D.
• Doron Emerson Brelis, MFT

• All providers in Los Angeles, CA
• MOHS-Micrographic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.

Verify at the official NPI Registry.