Individual provider Active NPI

Rachel Mistur, MD

  • Dermatology Physician
  • Independence, OH
National Provider Identifier
1033504501
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35.136541 Issued in OH
Practice address
4807 Rockside Rd Ste 100
Independence, OH 44131-2188
Phone
(216) 524-4009
Fax
(216) 524-7933
NPI assigned
Apr 1, 2015
Last updated
May 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 35.136541 OH Primary

Addresses

Primary practice location

4807 Rockside Rd Ste 100
Independence, OH 44131-2188

Mailing address

4807 Rockside Rd Ste 100
Independence, OH 44131-2188
Phone (216) 524-4009

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@northcoastdermatology.com Direct

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
I20190730001405 OH Practitioner - Dermatology 3971817370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Cincinnati College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4807 Rockside Rd
Suite 100
Independence, OH 44131-2188
Phone (216) 524-4009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions128
Skin biopsy25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.136541OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northcoast Dermatology Associates, Inc. Single Specialty CurrentSince Dec 1, 2025 Accepting new patients
Northcoast Dermatology Associates, Inc. Single Specialty CurrentSince Dec 1, 2025 Accepting new patients

Locations

4807 Rockside Rd
Ste 100
Seven Hills, OH 44131
Phone (216) 524-4009

Interoperability endpoints

  • Direct secure messaging: rmistur@theparkerclinic.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1033504501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 ROCKSIDE RD STE 100",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312188",
            "telephone_number": "216-524-4009",
            "fax_number": "216-524-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 ROCKSIDE RD STE 100",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312188",
            "telephone_number": "216-524-4009",
            "fax_number": "216-524-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTUR",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.136541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@northcoastdermatology.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4807 Rockside Rd Ste 100",
            "city": "Independence",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441312188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.