Kavita Menon (NPI# 1275799801, PAC ID# 3375796212) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1275799801 |
| PAC ID by PECOS | 3375796212 |
| Professional Enrollment ID | I20150227001935 |
| Full Name | Kavita Menon |
| Organization Legal Name | THETA DERMATOLOGY PC |
| Address |
2508 Western Ave Altamont NY 12009-9485 |
| Phone Number | 5186900177 |
| Gender | F |
| Medical School | NEW YORK UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 9638430846 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2508 Western Ave, Altamont, NY 12009-9485 | 5186900177 | THETA DERMATOLOGY PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 89% | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 99% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 96% |
| Organization Legal Name | THETA DERMATOLOGY PC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Spratt | Physician Assistant | Theta Dermatology PC | 2508 Western Ave, Altamont, NY 12009-9485 |
| Karyn A Pauze | Physician Assistant | Theta Dermatology PC | 2508 Western Ave, Altamont, NY 12009-9485 |
| Virginia Alldredge Tracey | Dermatology | Theta Dermatology PC | 2508 Western Ave, Altamont, NY 12009-9485 |
| Alexis W Perlmutter | Dermatology | Theta Dermatology PC | 2508 Western Ave, Altamont, NY 12009-9485 |
| Samantha L Lagace | Physician Assistant | Theta Dermatology PC | 2508 Western Ave, Altamont, NY 12009-9485 |
| Erin Ann Winter | Family Medicine | Theta Dermatology PC | 2508 Western Ave, Altamont, NY 12009-9485 |
| Theta S Pattison | Dermatology | Theta Dermatology PC | 2508 Western Ave, Altamont, NY 12009-9485 |
| Street Address |
2508 WESTERN AVE |
| City | ALTAMONT |
| State | NY |
| Zip | 12009-9485 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Spratt | Physician Assistant | Theta Dermatology PC | 2508 Western Ave, Altamont, NY 12009-9485 |
| Karyn A Pauze | Physician Assistant | Theta Dermatology PC | 2508 Western Ave, Altamont, NY 12009-9485 |
| Virginia Alldredge Tracey | Dermatology | Theta Dermatology PC | 2508 Western Ave, Altamont, NY 12009-9485 |
| Alexis W Perlmutter | Dermatology | Theta Dermatology PC | 2508 Western Ave, Altamont, NY 12009-9485 |
| Samantha L Lagace | Physician Assistant | Theta Dermatology PC | 2508 Western Ave, Altamont, NY 12009-9485 |
| Erin Ann Winter | Family Medicine | Theta Dermatology PC | 2508 Western Ave, Altamont, NY 12009-9485 |
| Theta S Pattison | Dermatology | Theta Dermatology PC | 2508 Western Ave, Altamont, NY 12009-9485 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian J Thornton | Physical Therapy | 122 Maple Ave, Altamont, NY 12009-7718 | |
| Athanasios K Sarris | Chiropractic | 2558 Western Ave, Altamont, NY 12009-9487 |
| City | ALTAMONT |
| Zip Code | 12009 |
| Specialty | DERMATOLOGY |
| City + Specialty | ALTAMONT + DERMATOLOGY |
Please comment or provide details below to improve the information on Kavita Menon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.