Active NPI
Mary Elizabeth Landau-Levine, MD
- Dermatopathology Physician
- Scottsdale, AZ
National Provider Identifier
1699743294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- 27262
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 495467 | Medicaid | AZ |
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
Enrollment records 1
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
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 100
- Quality
- 82.26
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 76.85
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27262 | AZ | MD | Dermatopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corinthian Reference Lab LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Center for Dermatology, PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Dermatology Physician
- Scottsdale, AZ
- NPI 1194792416
-
- Clinical Medical Laboratory
- Benbrook, TX
- NPI 1952619983
Anatomic Pathology & Clinical Pathology
-
- Medical Physician Assistant
- Scottsdale, AZ
- NPI 1174062673
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.