Individual provider Active NPI

Daniel I Zivony, M.D.

  • MOHS-Micrographic Surgery Physician
  • Asheville, NC
National Provider Identifier
1497751085
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
200201027 Issued in NC
Practice address
16 Medical Park Dr
Asheville, NC 28803-2493
Phone
(828) 274-4880
Fax
(828) 274-6868
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 200201027 NC Primary
Dermatopathology Physician 207ND0900X 200201027 NC
Pediatric Dermatology Physician 207NP0225X 200201027 NC
Procedural Dermatology Physician 207NS0135X 200201027 NC
Dermatology Physician 207N00000X 200201027 NC

Addresses

Primary practice location

16 Medical Park Dr
Asheville, NC 28803-2493

Mailing address

16 Medical Park Dr
Asheville, NC 28803-2493
Phone (828) 274-4880

Other identifiers 1

IdentifierTypeStateIssuer
8913255MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20051028000571 NC Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 0143245589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Ohio State University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology and Skin Surgery PAGroup PAC ID 9830115997, 14 clinicians

Practice addresses (Care Compare)

16 Medical Park Dr
Asheville, NC 28803-2493
Phone (828) 274-4880

Hospital & facility affiliations

  • Memorial Mission Hospital and Asheville Surgery Ce Hospital, Asheville, NC, CCN 340002

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision176
Removal of tissue1-10
Removal of skin lesions88
Removal of skin cancer981
Removal of nail tissue1-10
Skin biopsy64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200201027NCMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology and Skin Surgery, PA Dermatology CurrentSince Jan 15, 2002 Accepting new patients

Locations

16 Medical Park Dr
Asheville, NC 28803
Phone (828) 254-0160

12 Medical Park Dr
Asheville, NC 28803
Phone (828) 274-4880

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 1

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1497751085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MEDICAL PARK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032493",
            "telephone_number": "828-274-4880",
            "fax_number": "828-274-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MEDICAL PARK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032493",
            "telephone_number": "828-274-4880",
            "fax_number": "828-274-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIVONY",
        "first_name": "DANIEL",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NC",
            "license": "200201027",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NC",
            "license": "200201027",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "NC",
            "license": "200201027",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NC",
            "license": "200201027",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "200201027",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8913255",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.