Karen Denise Allen, MD
Individual provider Active NPI Dermatology Physician · San Luis Obispo, CA
NPI 1942200183 · NPPES record last updated Oct 10, 2012
Key facts
- NPI
- 1942200183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- A64792 (CA)
- Practice address
- 715 Tank Farm Rd
San Luis Obispo, CA 93401-7068 - Phone
- (805) 543-4488
- Fax
- (805) 543-6271
- NPI assigned
- Jul 29, 2005
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Dermatology
- Education
- University of California, Irvine, California College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
715 Tank Farm Rd
San Luis Obispo, CA 93401-7068
Phone (805) 543-5577
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 27 |
| Removal of skin lesions | 1221 |
| Removal of skin cancer | 16 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 127 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100825000434 | CA | Practitioner - Dermatology | 0345364576 | Practice locations: San Luis Obispo, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A64792 | CA | MD | Dermatology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A64792 | CA | Yes |
Addresses
Primary practice location
715 Tank Farm Rd
San Luis Obispo, CA 93401-7068
Mailing address
715 Tank Farm Rd
San Luis Obispo, CA 93401-7068
Phone (805) 543-4488
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070015255 | Other | CA | RAILROAD MEDICARE |
Other providers in San Luis Obispo, CA
- Alfred Applegarth O.D.
- Joseph T. Alioto
- Donald Richard Allard Jr.
- Amy Allen
- Elizabeth Allen
- Kimberly Kay Allen
- Jennifer Allenbarker
- Regan Allendorf
- Jazzlynne Allensworth
- Allergy Partners of California, Inc.
All providers in San Luis Obispo, CA · Dermatology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.