Individual provider Active NPI

Allison Weinkle, M.D.

  • MOHS-Micrographic Surgery Physician
  • Sacramento, CA
National Provider Identifier
1619323755
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
A168686 Issued in CA
Practice address
3301 C St Ste 1300
Sacramento, CA 95816-3370
Phone
(916) 551-2626
NPI assigned
May 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X A168686 CA Primary

Addresses

Primary practice location

3301 C St Ste 1300
Sacramento, CA 95816-3370

Mailing address

907 3Rd St E
Palmetto, FL 34221-4235
Phone (941) 504-3329

Other identifiers 1

IdentifierTypeStateIssuer
A168686OtherCACA MEDICAL LICENSE

Other names 1

  • Allison Weinkle Mitevski Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210820000240 FL Practitioner - Dermatology 3971908500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weinkle Dermatology, Inc.Group PAC ID 1850780172, 4 clinicians

Practice addresses (Care Compare)

5601 21St Ave W
Suite B
Bradenton, FL 34209-5642
Phone (941) 794-5432

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Tampa, FL, CCN 103145

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision155
Removal of tissue12
Removal of skin lesions2681
Removal of skin cancer438
Removal or shaving of skin growth14
Skin biopsy658

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A168686CAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weinkle Dermatology, Inc. CurrentSince Jan 1, 2022 Accepting new patients

Locations

5601 21st Ave W
Ste B
Bradenton, FL 34209
Phone (941) 794-5432

Interoperability endpoints

  • Direct secure messaging: aweinkle@weinkle.emadirect.md

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": "1462665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1619323755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 3RD ST E",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342214235",
            "telephone_number": "941-504-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 C ST STE 1300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163370",
            "telephone_number": "916-551-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINKLE",
        "first_name": "ALLISON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-08",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A168686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL LICENSE",
            "identifier": "A168686",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "MITEVSKI",
            "middle_name": "WEINKLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.