DR. TANYA KORMEILI MD
NPI 1245450766
Dermatology in Santa Monica, CA

Active since April 26, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 05D2154286 · Certificate of Compliance
2811 WILSHIRE BLVD STE 640, SANTA MONICA, CA 90403(310) 526-8301 Get Directions Write a Review

NPPES record last updated: August 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tanya Kormeili Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TANYA KORMEILI MD (NPI 1245450766) is an individual dermatology provider in Santa Monica, California, licensed in California (A83828) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, holds a CLIA Certificate of Compliance certificate valid through August 27, 2027, and maintains a secondary practice location in Santa Monica.

NPPES Registry Identity

NPI1245450766
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. TANYA KORMEILICredential: MD
Location Address2811 WILSHIRE BLVD STE 640Santa Monica, CA 90403-4823
Mailing Address2811 Wilshire Blvd Ste 640Santa Monica, CA 90403-4823 · (310) 526-8301
Sole ProprietorYes
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2002
Enumeration DateApril 26, 2007
Last NPPES UpdateAugust 2, 2018
NPI 1245450766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · A83828
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License A83838 (CA)
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License A83828 (CA)
Also ListedDermatology · Clinical & Laboratory Dermatological ImmunologyTaxonomy 207NI0002X · License A83828 (CA)
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X · License A83828 (CA)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License A83828 (CA)
2811 WILSHIRE BLVD STE 640, Santa Monica, CA 90403

Secondary Practice Location 1

Location 11260 15th St, Suite 709Santa Monica, CA 90404-1135 · Phone (310) 917-4433 · Fax (310) 917-4432

Other Identifiers 1

OtherWA83828AMedicare Pin

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Tanya Kormeili Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264523190
PECOS Enrollment IDI20070807000823
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D2154286

Tanya Kormeili MD · Santa Monica, CA
Active · expires Aug 27, 2027
CLIA Number05D2154286
Laboratory TypePhysician Office
Certificate Effective DateAugust 28, 2025
Certificate Expiration DateAugust 27, 2027
Laboratory DirectorTanya Kormeili
Laboratory Phone(310) 526-8301
Laboratory LocationTanya Kormeili MD2811 Wilshire Blvd, Ste 640, Santa Monica, CA 90403
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
527 services53 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
155 services88 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
108 services66 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
91 services61 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
72 services47 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
70 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Advance Care Plan
100%239 patients5/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
100%25 patients5/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
100%236 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%256 patients5/55-star benchmark: 98%
Provide Patients Electronic Access to Their Health Information
95%1,697 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanya Kormeili's NPI number?

The NPI number for Tanya Kormeili is 1245450766. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Tanya Kormeili located?

Tanya Kormeili practices at 2811 Wilshire Blvd Ste 640, Santa Monica, CA 90403. The listed phone number is (310) 526-8301.

What is Tanya Kormeili's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Tanya Kormeili enrolled in Medicare?

Yes. Tanya Kormeili is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Tanya Kormeili hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2154286) is associated with this NPI, valid through August 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tanya Kormeili was last updated on August 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.