Individual provider Active NPI

Dario Kivelevitch, M.D.

  • Dermatology Physician
  • Lancaster, TX
National Provider Identifier
1922485838
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
R6810 Issued in TX
Practice address
2500 W Pleasant Run Rd Ste 215
Lancaster, TX 75146-1170
Phone
(945) 230-4312
NPI assigned
Apr 29, 2015
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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 1

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

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oliver Street 5.01(a) Inc 169 clinicians

Practice addresses (Care Compare)

2500 W Pleasant Run Rd
Suite 215
Lancaster, TX 75146-1170
Phone (945) 230-4312

8220 Walnut Hill LN
Suite 512
Dallas, TX 75231-4414
Phone (214) 369-8130

Hospital & facility affiliations

  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision16
Removal of skin lesions344
Removal or shaving of skin growth1-10
Skin biopsy92

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20180815001571 TX Practitioner - Dermatology 6800116807 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oliver Street 5.01(a) Inc. Dermatology CurrentSince Aug 1, 2022 Accepting new patients
Clarity Dermatology PLLC Dermatology CurrentSince Nov 14, 2022 Accepting new patients
Alpesh D. Desai, D.O. P.a. CurrentSince Aug 5, 2020 Accepting new patients
Dermatology Associates Dermatology Past Accepting new patients

Locations

6117 Berkshire Ln
Dallas, TX 75225
Phone (214) 373-3376

3900 Junius St
Ste 145
Dallas, TX 75246
Phone (214) 377-1699

8220 Walnut Hill Ln
Ste 512
Dallas, TX 75231
Phone (214) 369-8130

8210 Walnut Hill Ln
Ste 810
Dallas, TX 75231
Phone (214) 363-1885

5310 Harvest Hill Rd
Ste 290
Dallas, TX 75230
Phone (214) 420-0672

5310 Harvest Hill Rd
Ste 130
Dallas, TX 75230
Phone (214) 919-3133

2120 Ashland St
Houston, TX 77008
Phone (713) 864-2659

2500 W Pleasant Run Rd
Ste 215
Lancaster, TX 75146
Phone (945) 230-4312

1900 Matlock Rd
Ste 700
Mansfield, TX 76063
Phone (682) 518-1515

1367 Dominion Plz
Tyler, TX 75703
Phone (903) 534-6200

2460 N Interstate Highway 35 E
Ste 240
Waxahachie, TX 75165
Phone (469) 548-6891

Interoperability endpoints

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X R6810 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

2500 W Pleasant Run Rd Ste 215
Lancaster, TX 75146-1170

Mailing address

2500 W Pleasant Run Rd Ste 215
Lancaster, TX 75146-1170
Phone (945) 230-4312

Other practice location 1

8210 Walnut Hill Ln Ste 810
Dallas, TX 75231-4421
Phone (214) 903-0829

Other practice location 2

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-2361

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 20, 2023.

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1922485838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W PLEASANT RUN RD STE 215",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751461170",
            "telephone_number": "945-230-4312",
            "fax_number": "972-478-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W PLEASANT RUN RD STE 215",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751461170",
            "telephone_number": "945-230-4312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8210 Walnut Hill Ln Ste 810",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752314421",
            "country_code": "US",
            "telephone_number": "214-903-0829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 Gaston Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752462017",
            "country_code": "US",
            "telephone_number": "214-820-2361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIVELEVITCH",
        "first_name": "DARIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-29",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "R6810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, TX

Sources for this page

Verify at the official NPI Registry.