Individual provider Active NPI

Eric Allen Harlan, MD

  • Dermatology Physician
  • Johnston, IA
National Provider Identifier
1487809190
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
38780 Issued in IA
Practice address
5705 NW 100TH St Ste 100
Johnston, IA 50131-1813
Phone
(515) 726-3376
Fax
(515) 446-9707
NPI assigned
Nov 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 38780 IA Primary
Dermatology Physician 207N00000X ME102545 FL

Addresses

Primary practice location

5705 NW 100TH St Ste 100
Johnston, IA 50131-1813

Mailing address

5705 NW 100TH St Ste 100
Johnston, IA 50131-1813
Phone (515) 726-3376

Other identifiers 1

IdentifierTypeStateIssuer
001493000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20110805000785 IA Practitioner - Dermatology 5395890537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Iowa, RJ & L Carver College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Iowa Dermatology LLCGroup PAC ID 3173859378, 5 clinicians

Practice addresses (Care Compare)

2720 8TH St SW
Unity Point Clinic
Altoona, IA 50009-1028
Phone (515) 726-3376

5705 NW 100TH St
Suite 100
Johnston, IA 50131-1813
Phone (515) 726-3376

Hospital & facility affiliations

  • Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083

Merit-based Incentive Payment System (MIPS)

Final score
95.62 of 100Reported as group
Quality
91.23
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision100
Removal of skin lesions1016
Removal of skin cancer216
Removal or shaving of skin growth1-10
Skin biopsy161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38780IAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Dermatology LLC Dermatology CurrentSince Aug 2, 2019 Accepting new patients

Locations

2720 8th St SW
Altoona, IA 50009
Phone (515) 957-8609

5705 NW 100th St
Ste 100
Johnston, IA 50131

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.

Hospital & facility affiliations 4

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": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1487809190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 NW 100TH ST STE 100",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311813",
            "telephone_number": "515-726-3376",
            "fax_number": "515-446-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5705 NW 100TH ST STE 100",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311813",
            "telephone_number": "515-726-3376",
            "fax_number": "515-446-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLAN",
        "first_name": "ERIC",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-21",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "38780",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME102545",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001493000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

Verify at the official NPI Registry.