Individual provider Active NPI

Robin Schroeder Lewallen, M.D.

  • Dermatology Physician
  • Newport Beach, CA
National Provider Identifier
1649533803
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A144323 Issued in CA
Practice address
1441 Avocado Ave Ste 702
Newport Beach, CA 92660-7708
Phone
(949) 706-7886
NPI assigned
Jun 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X A144323 CA
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X A144323 CA Primary

Addresses

Primary practice location

1441 Avocado Ave Ste 702
Newport Beach, CA 92660-7708

Mailing address

1441 Avocado Ave Ste 702
Newport Beach, CA 92660-7708
Phone (949) 759-2100

Other names 1

  • Ms. Robin Elaine Schroeder Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drlewallen@newportdeachdps.com Direct

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
I20161111000528 CA Practitioner - Dermatology 7911212568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anne Marie McNeill, MD, PHD, IncGroup PAC ID 0749323749, 9 clinicians

Practice addresses (Care Compare)

1441 Avocado Ave
Suite 702
Newport Beach, CA 92660-7708
Phone (949) 706-7886

27512 Calle Arroyo
San Juan Capistrano, CA 92675-2753
Phone (949) 607-7886

Merit-based Incentive Payment System (MIPS)

Final score
94.23 of 100Reported as group
Quality
100
Improvement activities
40
Cost
80.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision18
Removal of tissue1-10
Removal of skin lesions670
Removal of skin cancer127
Removal or shaving of skin growth1-10
Skin biopsy234

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A144323CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Marie McNeill, MD, PHD, Inc Single Specialty CurrentSince Dec 23, 2019 Accepting new patients

Locations

1441 Avocado Ave
Ste 702
Newport Beach, CA 92660
Phone (949) 706-7886

27512 Calle Arroyo
San Juan Capistrano, CA 92675
Phone (424) 242-8608

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.

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1649533803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE STE 702",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607708",
            "telephone_number": "949-759-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE STE 702",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607708",
            "telephone_number": "949-706-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWALLEN",
        "first_name": "ROBIN",
        "middle_name": "SCHROEDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A144323",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A144323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drlewallen@newportdeachdps.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1441 Avocado Ave Ste 702",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926607708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "SCHROEDER",
            "middle_name": "ELAINE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.