Individual provider Active NPI

Kimberly Uhles Hurvitz, M.D.

  • Dermatology Physician
  • Santa Barbara, CA
National Provider Identifier
1497810402
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A72486 Issued in CA
Practice address
2936 De la Vina St
Suite 200
Santa Barbara, CA 93105-3354
Phone
(805) 618-1616
Fax
(805) 617-3558
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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 A72486 CA Primary

Addresses

Primary practice location

2936 De la Vina St
Suite 200
Santa Barbara, CA 93105-3354

Mailing address

PO Box 50706
Santa Barbara, CA 93150-0706
Phone (805) 963-3757

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040729000725 CA Practitioner - Dermatology 0749250421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Washington University School of Medicine, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2936 De la Vina St
Suite 200
Santa Barbara, CA 93105-3376
Phone (805) 618-1616

Merit-based Incentive Payment System (MIPS)

Final score
67.62 of 100Reported as individual
Quality
35.25
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision37
Removal of skin lesions2416
Removal of nail tissue1-10
Removal or shaving of skin growth11
Skin biopsy759

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly Uhles Hurvitz, MD Inc Dermatology CurrentSince Apr 1, 2012 Accepting new patients
Santa Barbara Cottage Hospital Past Accepting new patients

Locations

2431 Castillo St
Santa Barbara, CA 93105
Phone (805) 569-2004

2936 De la Vina St
Ste 200
Santa Barbara, CA 93105
Phone (805) 563-3135

Interoperability endpoints

  • Direct secure messaging: khurvitz@advancedderm.encitedirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1497810402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50706",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931500706",
            "telephone_number": "805-963-3757",
            "fax_number": "805-564-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2936 DE LA VINA ST",
            "address_2": "SUITE 200",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053354",
            "telephone_number": "805-618-1616",
            "fax_number": "805-617-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURVITZ",
        "first_name": "KIMBERLY",
        "middle_name": "UHLES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A72486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.