Individual provider Active NPI

Lesley McMurry Plotke, MD

  • Dermatology Physician
  • Oakland, CA
National Provider Identifier
1629207493
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
124576 Issued in CA
Practice address
3300 Webster St Ste 509
Oakland, CA 94609-3149
Phone
(510) 452-2811
NPI assigned
Jul 14, 2009
Last updated
Aug 27, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 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 124576 CA Primary

Addresses

Primary practice location

3300 Webster St Ste 509
Oakland, CA 94609-3149

Mailing address

3300 Webster St Ste 509
Oakland, CA 94609-3149
Phone (510) 452-2811

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
I20130726000180 CA Practitioner - Dermatology 5698916138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Rush Medical College of Rush University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lesley Plotke MD IncGroup PAC ID 8224334933, 2 clinicians

Practice addresses (Care Compare)

3511 School St
Lafayette, CA 94549-4547
Phone (510) 452-0330

Merit-based Incentive Payment System (MIPS)

Final score
91.75 of 100Reported as individual
Quality
85
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision14
Removal of skin lesions1078
Removal or shaving of skin growth1-10
Skin biopsy313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
124576CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lesley Plotke, MD, Inc Dermatology CurrentSince Mar 29, 2016 Accepting new patients

Locations

3511 School St
Lafayette, CA 94549
Phone (510) 452-0330

3300 Webster St
Ste 509
Oakland, CA 94609
Phone (510) 452-0330

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, 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": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1629207493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 WEBSTER ST STE 509",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093149",
            "telephone_number": "510-452-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WEBSTER ST STE 509",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093149",
            "telephone_number": "510-452-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOTKE",
        "first_name": "LESLEY",
        "middle_name": "MCMURRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "124576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.