Active NPI
Erin Ducharme, MD
- Dermatology Physician
- Clive, IA
National Provider Identifier
1891961900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD-40967
- Practice address
- 16349 Sheridan Drive
Suite 101
Clive, IA 50325 - Phone
- (515) 987-0333
- Fax
- (833) 288-7944
- NPI assigned
- May 8, 2008
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | MD-40967 | IA | |
| Dermatopathology Physician | 207ND0900X | MD-40967 | IA | |
| Clinical & Laboratory Dermatological Immunology Physician | 207NI0002X | MD-40967 | IA | |
| Pediatric Dermatology Physician | 207NP0225X | MD-40967 | IA | |
| Procedural Dermatology Physician | 207NS0135X | MD-40967 | IA | |
| Dermatology Physician | 207N00000X | MD-40967 | IA | Primary |
Addresses
Primary practice location
16349 Sheridan Drive
Suite 101
Clive, IA 50325
Mailing address
16349 Sheridan Ave Ste 101
Clive, IA 50325-4675
Phone (515) 987-0333
Other names 1
- Erin McKinley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- 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
- Dermatology
- Education
- Columbia University College of Physicians and Surgeons, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
16349 Sheridan Ave
Suite 101
Clive, IA 50325-4675
Phone (515) 650-2914
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.33 of 100
- Quality
- 86.67
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 49 |
| Removal of skin lesions | 1220 |
| Removal of skin cancer | 179 |
| Removal or shaving of skin growth | 33 |
| Skin biopsy | 235 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-40967 | IA | MD | Dermatopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ducharme Dermatology, P.C. | Dermatology | Current | Accepting new patients |
| Optimize Medical Group | Past | Accepting new patients |
Locations
16349 Sheridan Ave
Ste 101
Clive, IA 50325
Phone (515) 650-2914
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.
-
- Dermatology Physician
- Clive, IA
- NPI 1891214896
-
- Adult Health Nurse Practitioner
- Pikesville, MD
- NPI 1952818999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1891961900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16349 SHERIDAN AVE STE 101",
"city": "CLIVE",
"state": "IA",
"postal_code": "503254675",
"telephone_number": "515-987-0333",
"fax_number": "833-288-7944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16349 SHERIDAN DRIVE",
"address_2": "SUITE 101",
"city": "CLIVE",
"state": "IA",
"postal_code": "50325",
"telephone_number": "515-987-0333",
"fax_number": "833-288-7944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUCHARME",
"first_name": "ERIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-08",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "IA",
"license": "MD-40967",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "IA",
"license": "MD-40967",
"primary": false
},
{
"code": "207NI0002X",
"taxonomy_group": "",
"desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
"state": "IA",
"license": "MD-40967",
"primary": false
},
{
"code": "207NP0225X",
"taxonomy_group": "",
"desc": "Dermatology, Pediatric Dermatology",
"state": "IA",
"license": "MD-40967",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "IA",
"license": "MD-40967",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IA",
"license": "MD-40967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "MCKINLEY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.