Individual provider Active NPI

Justin Hastings, MD

  • Dermatology Physician
  • Sandusky, OH
National Provider Identifier
1013250794
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35.134901 Issued in OH
Practice address
2500 W Strub Rd Ste 330
Sandusky, OH 44870-5390
Phone
(419) 626-6700
NPI assigned
Apr 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X 35.134901 OH Primary

Addresses

Primary practice location

2500 W Strub Rd Ste 330
Sandusky, OH 44870-5390

Mailing address

2500 W Strub Rd Ste 330
Sandusky, OH 44870-5390
Phone (419) 626-6700

Other practice location 1

2200 Jefferson Ave
Toledo, OH 43604-7101
Phone (419) 251-1395

Other practice location 2

2500 W Strub Rd Ste 330
Sandusky, OH 44870-5390
Phone (419) 626-6700

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20181220000866 OH Practitioner - Dermatology 8729309620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatologists of Southwestern Ohio, LLCGroup PAC ID 7113973041, 116 clinicians

Practice addresses (Care Compare)

3780 Medina Rd
Suite 240
Medina, OH 44256-9312
Phone (330) 952-2040

5300 Far Hills Ave
Dayton, OH 45429-2381
Phone (937) 433-7536

9075 Town Centre Dr
Suite 100
Broadview Heights, OH 44147-4046
Phone (440) 526-4570

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision49
Removal of skin lesions964
Removal of nail tissue1-10
Removal or shaving of skin growth40
Skin biopsy139

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.134901OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatologists of Southwestern Ohio, LLC. Dermatology CurrentSince Mar 13, 2020 Accepting new patients

Locations

9075 Town Centre Dr
Ste 100
Broadview Heights, OH 44147
Phone (440) 526-4570

5300 Far Hills Ave
Dayton, OH 45429
Phone (513) 433-7536

3780 Medina Rd
Ste 240
Medina, OH 44256
Phone (330) 379-5051

2500 W Strub Rd
Ste 330
Sandusky, OH 44870
Phone (419) 626-6700

16712 Pearl Rd
Strongsville, OH 44136
Phone (440) 238-0360

Networks

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

Interoperability endpoints

  • Direct secure messaging: jhastings1@dermswohio.emadirect.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1013250794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W STRUB RD STE 330",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705390",
            "telephone_number": "419-626-6700",
            "fax_number": "419-502-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W STRUB RD STE 330",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705390",
            "telephone_number": "419-626-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436047101",
            "country_code": "US",
            "telephone_number": "419-251-1395",
            "fax_number": "419-242-9806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 W Strub Rd Ste 330",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "OH",
            "postal_code": "448705390",
            "country_code": "US",
            "telephone_number": "419-626-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASTINGS",
        "first_name": "JUSTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-01",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.134901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.