Kimberly Tamargo, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35.141401 Issued in OH

Practice address

3624 W Market St Ste 101
Fairlawn, OH 44333-4510

Phone

(330) 665-0555

NPI assigned

Jun 20, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Northeastern Ohio University College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allied Dermatology and Skin Surgery, LLCGroup PAC ID 1456679646, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Akron General Medical Center Hospital, Akron, OH, CCN 360027

Merit-based Incentive Payment System (MIPS)

Final score

86.6 of 100Reported as group

Quality

84.98

Promoting interoperability

100

Improvement activities

40

Cost

70.36

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
• devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
• KY PPO
• KY PPO C-SNP
• OH PPO
• devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
• devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8

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.

• Allied Dermatology and Skin Surgery, LLC

  • Dermatology Physician
  • Fairlawn, OH
  • NPI 1932592698
  Medicare reassignment Care Compare group NPD
• University Dermatologists Inc

  • Dermatology Physician
  • South Euclid, OH
  • NPI 1154487932
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Akron General Medical Center

  • General Acute Care Hospital
  • Akron, OH
  • NPI 1821035940
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1003336140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 W MARKET ST STE 101",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334510",
            "telephone_number": "330-665-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 W MARKET ST STE 101",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334510",
            "telephone_number": "330-665-0555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1560 Corporate Woods Pkwy",
            "address_purpose": "LOCATION",
            "city": "Uniontown",
            "state": "OH",
            "postal_code": "446858730",
            "country_code": "US",
            "telephone_number": "330-665-0555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5915 Landerbrook Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Mayfield Hts",
            "state": "OH",
            "postal_code": "441244034",
            "country_code": "US",
            "telephone_number": "216-382-3806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAMARGO",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.141401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kt@alliedderm.emadirect.md",
            "affiliation": "Y",
            "affiliationName": "Allied Dermatology and Skin Surgery, LLC",
            "address_1": "5915 Landerbrook Dr Ste 120",
            "city": "Mayfield Hts",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441244034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kt@alliedderm.emadirect.md",
            "affiliation": "Y",
            "affiliationName": "Allied Dermatology and Skin Surgery, LLC",
            "address_1": "1560 Corporate Woods Pkwy",
            "city": "Uniontown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446858730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kt@alliedderm.emadirect.md",
            "affiliation": "Y",
            "affiliationName": "Allied Dermatology and Skin Surgery, LLC",
            "address_1": "3624 W Market St Ste 101",
            "city": "Fairlawn",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443334510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Macy Marie Tackett, MSN, PMHNP-BC
• Selma Tahat
• Joumana Takla
• Roger Takla
• Ruchi Taliwal, M.D.
• Tandem Health Care of Ohio, Inc.
• Alicia Tarver
• Janell Tarver
• Rochelle Lee Tatarka, APRN-CNP, PMHNP
• Lance Austin Taylor Sr.

• Dermatology Physician in Fairlawn, OH
• Providers in Fairlawn, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.

Verify at the official NPI Registry.