Individual provider Active NPI

Danielle Marie Ello Cruto, DO

  • Family Medicine Physician
  • Kennewick, WA
National Provider Identifier
1497246961
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP61202013 Issued in WA
Practice address
900 S Auburn St
Kennewick, WA 99336-5621
Phone
(509) 221-5520
NPI assigned
May 21, 2018
Last updated
Nov 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP61202013 WA Primary

Addresses

Primary practice location

900 S Auburn St
Kennewick, WA 99336-5621

Mailing address

216 W 10TH Ave. Suite 204
PO Box 6128
Kennewick, WA 99336
Phone (509) 221-5520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20210920003200 WA Practitioner - Family Practice 0547506354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermahealth Dermatology PLLCGroup PAC ID 8729145677, 8 clinicians

Practice addresses (Care Compare)

1295 Fowler St
Suite 102
Richland, WA 99352-4723
Phone (509) 783-2004

Merit-based Incentive Payment System (MIPS)

Final score
93.53 of 100Reported as group
Quality
87.07
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision46
Removal of tissue1-10
Removal of skin lesions1299
Removal of nail tissue1-10
Removal or shaving of skin growth60
Skin biopsy264

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermahealth Dermatology, PLLC CurrentSince Jan 1, 2024 Accepting new patients
Tri Cities Community Health Past Accepting new patients

Locations

1295 Fowler St
Ste 102
Richland, WA 99352
Phone (509) 783-2004

Interoperability endpoints

  • Direct secure messaging: dellocruto@dermahealth.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1497246961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 W 10TH AVE. SUITE 204",
            "address_2": "PO BOX 6128",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99336",
            "telephone_number": "509-221-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S AUBURN ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365621",
            "telephone_number": "509-221-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLO CRUTO",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP61202013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.