Active NPI
Dario Kivelevitch, M.D.
- Dermatology Physician
- Lancaster, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- R6810
- 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
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 16 |
| Removal of skin lesions | 344 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 92 |
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oliver Street 5.01(a) Inc. | Dermatology | Current | Accepting new patients |
| Clarity Dermatology PLLC | Dermatology | Current | Accepting new patients |
| Alpesh D. Desai, D.O. P.a. | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | R6810 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.