Aziza A Wahby, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

34011998 Issued in OH

Practice address

4350 Crocker Rd Ste 300
Westlake, OH 44145

Phone

(440) 646-1600

Fax

(440) 646-1505

NPI assigned

Jul 11, 2012

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH, IA2 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

Specialty

Dermatology

Education

Touro Un Col of Osteopathic Medicine, New York, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trinity Regional Medical CenterGroup PAC ID 7315858529, 170 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uh Regional Hospitals Hospital, Chardon, OH, CCN 360075

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: awahby37843@ehrdirect.uhhospitals.org
• Direct secure messaging: awahby1187754@direct.unitypoint.org

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.

• Aziza Wahby DO

  • Dermatology Physician
  • Chagrin Falls, OH
  • NPI 1679157986
  Medicare reassignment NPD Authorized official
• Trinity Regional Medical Center

  • Emergency Medicine Physician
  • Fort Dodge, IA
  • NPI 1073594156
  Medicare reassignment Care Compare group NPD
• Apex Dermatology and Skin Surgery Center, LLC

  • Dermatology Physician
  • Mayfield Heights, OH
  • NPI 1689973638
  Medicare reassignment NPD
• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Gary R Kutsikovich MD and Associates Inc

  • Neurology Physician
  • Mentor, OH
  • NPI 1841250420
  NPD (past)
• SCH Professional Corporation

  • Family Medicine Physician
  • Salem, OH
  • NPI 1619959822
  NPD (past)

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

• Uh Regional Hospitals

  • General Acute Care Hospital
  • Chardon, OH
  • NPI 1669562864
  Care Compare affiliation

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1033474598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2971 PAXTON RD",
            "city": "SHAKER HTS",
            "state": "OH",
            "postal_code": "441201823",
            "telephone_number": "216-932-5200",
            "fax_number": "216-932-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 CROCKER RD STE 300",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "44145",
            "telephone_number": "440-646-1600",
            "fax_number": "440-646-1505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26949 Chagrin Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441224230",
            "country_code": "US",
            "telephone_number": "216-932-5200",
            "fax_number": "216-932-5212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAHBY",
        "first_name": "AZIZA",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34011998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0127078",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H558291",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Satesh Waghray, MD
• Wagner and Associates Mental Health Services LLC
• Brianna Marie Wagner, MOT, OTR
• Janice Wagner, OTR/L
• Phyliss Wagner, LPCC
• Shokri A Wahib, DDS
• Natalie A Wahl
• Walden Healthcare, LLC.
• Walgreen Co
• Sarah Walker, LPCC, NCC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.