Individual provider Active NPI

Jonelle K McDonnell, MD

  • Dermatology Physician
  • Cuyahoga Falls, OH
National Provider Identifier
1003844937
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35058227M Issued in OH
Practice address
857 Graham Rd
Cuyahoga Falls, OH 44221-1170
Phone
(330) 923-9585
Fax
(330) 923-2290
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME104122 FL
Dermatology Physician 207N00000X 35058227M OH Primary

Addresses

Primary practice location

857 Graham Rd
Cuyahoga Falls, OH 44221-1170

Mailing address

857 Graham Rd
Cuyahoga Falls, OH 44221-1170
Phone (330) 923-9585

Other identifiers 2

IdentifierTypeStateIssuer
ME104122OtherFLMEDICAL LICENSE FLORIDA
145A6OtherFLBCBS PERSONAL PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061214000126 OH Practitioner - Dermatology 6002815370 Reassigns benefits to 1 organization
I20090807000499 FL Practitioner - Dermatology 6002815370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Toledo College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433

Hospital & facility affiliations

  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180

Merit-based Incentive Payment System (MIPS)

Final score
96.78 of 100Reported as apm
Quality
89.46
Promoting interoperability
99.02
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.06 of 100Reported as group
Quality
94.12
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions143
Skin biopsy74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME104122FLMDSpecialist
35058227MOHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sean Arvindh Sukal, M.D., PH.D., P.a. CurrentSince Sep 5, 2023 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Oct 30, 2024 Accepting new patients
Acute Dermatology Clinic PA Past Accepting new patients
Douglas K Pierce MD PA PastSince Dec 21, 2021 Accepting new patients
Elizabeth F. Callahan, M.D., LLC Specialist Past Accepting new patients
Cleveland Clinic Florida a Nonprofit Corporation Past Accepting new patients

Locations

2900 N Military Trl
Ste 100
Boca Raton, FL 33431
Phone (561) 245-8877

7980 S Jog Rd
Ste 100
Lake Worth, FL 33467
Phone (561) 245-5577

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

857 Graham Rd
Cuyahoga Falls, OH 44221
Phone (330) 923-9585

5005 Rockside Rd
Independence, OH 44131
Phone (440) 986-4000

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Networks

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

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1003844937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 GRAHAM RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211170",
            "telephone_number": "330-923-9585",
            "fax_number": "330-923-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 GRAHAM RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211170",
            "telephone_number": "330-923-9585",
            "fax_number": "330-923-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONNELL",
        "first_name": "JONELLE",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME104122",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35058227M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE FLORIDA",
            "identifier": "ME104122",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PERSONAL PROVIDER NUMBER",
            "identifier": "145A6",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

Verify at the official NPI Registry.