Individual provider Active NPI

Caroline Doo

  • MOHS-Micrographic Surgery Physician
  • Menlo Park, CA
National Provider Identifier
1750736898
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
A169162 Issued in CA
Practice address
321 Middlefield Rd Ste 245
Menlo Park, CA 94025-4010
Phone
(650) 326-7222
Fax
(650) 326-7332
NPI assigned
Apr 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X A169162 CA Primary

Addresses

Primary practice location

321 Middlefield Rd Ste 245
Menlo Park, CA 94025-4010

Mailing address

321 Middlefield Rd Ste 245
Menlo Park, CA 94025-4010
Phone (650) 326-7222

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
I20220728003216 CA Practitioner - Dermatology 6002102779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Missouri, Kansas City, School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Dermatologic Surgery IncGroup PAC ID 0648320689, 4 clinicians

Practice addresses (Care Compare)

321 Middlefield Rd
Suite 245
Menlo Park, CA 94025-4010
Phone (650) 326-7222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as individual
Promoting interoperability
89
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision171
Removal of skin lesions16
Removal of skin cancer517
Skin biopsy55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A169162CAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Dermatologic Surgery Inc Mohs-Micrographic Surgery CurrentSince Sep 13, 2022 Accepting new patients
Stanford Health Care PastSince Sep 13, 2022 Accepting new patients

Locations

321 Middlefield Rd
Ste 245
Menlo Park, CA 94025
Phone (650) 326-7222

Interoperability endpoints

  • Direct secure messaging: cdoo@directaddress.net

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1750736898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 MIDDLEFIELD RD STE 245",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254010",
            "telephone_number": "650-326-7222",
            "fax_number": "650-326-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MIDDLEFIELD RD STE 245",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254010",
            "telephone_number": "650-326-7222",
            "fax_number": "650-326-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOO",
        "first_name": "CAROLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2024-05-07",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A169162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.