Innovative Wound Healing & Dermatology
NPI 1538741053 · Dermatology Physician · Bonney Lake, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Innovative Wound Healing & Dermatology is a Dermatology Physician organization in Bonney Lake, WA (NPI 1538741053).
Provider details
- NPI number
- 1538741053
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Levy, Provider(800) 425-2805
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 414 Babcock RdSan Antonio, TX 78201-3120Phone: (800) 494-7759Fax: (253) 750-5151
Registry dates
- Enumerated
- 2021-04-23
- Last updated
- 2024-09-16
- Certified
- 2024-09-16
Frequently asked questions
- What is Innovative Wound Healing & Dermatology's NPI number?
- Innovative Wound Healing & Dermatology's National Provider Identifier (NPI) is 1538741053, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Wound Healing & Dermatology?
- Innovative Wound Healing & Dermatology is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Innovative Wound Healing & Dermatology located?
- Innovative Wound Healing & Dermatology's practice location on file with NPPES is 21137 Sr 410 E Ste I, Bonney Lake, WA 98391-8775.
- What is Innovative Wound Healing & Dermatology's phone number?
- The practice phone number listed in the NPPES registry for Innovative Wound Healing & Dermatology is (800) 425-2805.
- Does Innovative Wound Healing & Dermatology accept Medicare?
- Innovative Wound Healing & Dermatology is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Innovative Wound Healing & Dermatology?
- The authorized official listed on Innovative Wound Healing & Dermatology's NPPES record is Daniel Levy, Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Wound Healing & Dermatology's NPI active?
- Yes — Innovative Wound Healing & Dermatology's NPI (1538741053) is active in the NPPES registry as of the last update on 2024-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.