Individual provider Active NPI

Nicola Eva Natsis, MD

  • Dermatology Physician
  • Beverly Hills, CA
National Provider Identifier
1679109680
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A177028 Issued in CA
Practice address
8920 Wilshire Blvd Ste 545
Beverly Hills, CA 90211-2009
Phone
(310) 854-3003
NPI assigned
Mar 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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 A177028 CA Primary

Addresses

Primary practice location

8920 Wilshire Blvd Ste 545
Beverly Hills, CA 90211-2009

Mailing address

8920 Wilshire Blvd Ste 545
Beverly Hills, CA 90211-2009
Phone (310) 854-3003

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
I20240813002094 CA Practitioner - Dermatology 4183162894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, San Diego School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8920 Wilshire Blvd
Suite 545
Beverly Hills, CA 90211-2009
Phone (310) 854-0433

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision14
Removal of tissue1-10
Removal of skin lesions417
Removal or shaving of skin growth1-10
Skin biopsy189

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A177028CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nicola Natsis MD Inc Dermatology CurrentSince Jul 9, 2024 Accepting new patients

Locations

8920 Wilshire Blvd
Ste 545
Beverly Hills, CA 90211
Phone (310) 854-0433

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": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1679109680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD STE 545",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112009",
            "telephone_number": "310-854-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD STE 545",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112009",
            "telephone_number": "310-854-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATSIS",
        "first_name": "NICOLA",
        "middle_name": "EVA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-21",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A177028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.