Individual provider Active NPI

Mary Elizabeth Landau-Levine, MD

  • Dermatopathology Physician
  • Scottsdale, AZ
National Provider Identifier
1699743294
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
27262 Issued in AZ
Practice address
14301 N 87TH St Ste 107
Scottsdale, AZ 85260
Phone
(480) 905-8485
Fax
(480) 905-7274
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 27262 AZ
Dermatopathology Physician 207ND0900X 27262 AZ Primary

Addresses

Primary practice location

14301 N 87TH St Ste 107
Scottsdale, AZ 85260

Mailing address

14275 N 87TH St Ste 110
Scottsdale, AZ 85260-3696
Phone (480) 905-8485

Other practice location 1

7485 E Tanque Verde Rd
Tucson, AZ 85715-3477
Phone (520) 320-7681

Other identifiers 1

IdentifierTypeStateIssuer
495467MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20080711000392 AZ Practitioner - Pathology 3971537010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Duke University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Dermatology PLLCGroup PAC ID 1557355385, 69 clinicians

Practice addresses (Care Compare)

6320 W Union Hills Dr
BLG a Suite 200
Glendale, AZ 85308-1061
Phone (480) 905-8485

Merit-based Incentive Payment System (MIPS)

Final score
83.48 of 100Reported as group
Quality
82.26
Promoting interoperability
83
Improvement activities
40
Cost
76.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27262AZMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Corinthian Reference Lab LLC Anatomic Pathology & Clinical Pathology Current Accepting new patients
Center for Dermatology, PLLC PastSince Sep 29, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1699743294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 N 87TH ST STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603696",
            "telephone_number": "480-905-8485",
            "fax_number": "480-905-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14301 N 87TH ST STE 107",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-905-8485",
            "fax_number": "480-905-7274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7485 E Tanque Verde Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857153477",
            "country_code": "US",
            "telephone_number": "520-320-7681",
            "fax_number": "520-320-7684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDAU-LEVINE",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AZ",
            "license": "27262",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "AZ",
            "license": "27262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "495467",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.