Individual provider Active NPI

Samantha Stoler, M.D.

  • Dermatology Physician
  • Greenwood Village, CO
National Provider Identifier
1457558389
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
50111 Issued in CO
Practice address
5340 S Quebec St Ste 300
Suite 300
Greenwood Village, CO 80111-1909
Phone
(303) 756-7546
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

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 50111 CO Primary

Addresses

Primary practice location

5340 S Quebec St Ste 300
Suite 300
Greenwood Village, CO 80111-1909

Mailing address

5340 S Quebec St Ste 300
Suite 300
Greenwood Village, CO 80111-1909
Phone (303) 756-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20110809000410 CO Practitioner - Dermatology 1052412566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
State University of New York Downstate Medical Center, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aboutskin Dermatology and Dermsurgery PCGroup PAC ID 0547257552, 5 clinicians

Practice addresses (Care Compare)

10099 Ridgegate Pkwy
Suite 490
Lone Tree, CO 80124-5537
Phone (303) 756-7546

5340 S Quebec St
Suite 300S
Greenwood Village, CO 80111-1924

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions746
Removal or shaving of skin growth1-10
Skin biopsy113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50111COMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aboutskin Dermatology and Dermsurgery PC CurrentSince Jul 15, 2011 Accepting new patients

Locations

5340 S Quebec St
Ste 300
Greenwood Village, CO 80111
Phone (303) 756-7546

5340 S Quebec St
Ste 300S
Greenwood Village, CO 80111

10099 Ridgegate Pkwy
Ste 490
Lone Tree, CO 80124
Phone (303) 756-7546

Organizations & group practices 1

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1457558389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 S QUEBEC ST STE 300",
            "address_2": "SUITE 300",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111909",
            "telephone_number": "303-756-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 S QUEBEC ST STE 300",
            "address_2": "SUITE 300",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111909",
            "telephone_number": "303-756-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLER",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "50111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.