Ann R Kooken, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35081935K Issued in OH

Practice address

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

Phone

(330) 665-0555

Fax

(330) 665-0556

NPI assigned

Sep 14, 2006

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 1

Electronic endpoints 2

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

Ohio State University College of Medicine, 1999

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)

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

Interoperability endpoints

• Direct secure messaging: ak@alliedderm.emadirect.md

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

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1043315666",
    "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",
            "fax_number": "330-665-0556"
        },
        {
            "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",
            "fax_number": "330-665-0556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5915 Landerbrook Dr",
            "address_purpose": "LOCATION",
            "city": "Mayfield Hts",
            "state": "OH",
            "postal_code": "441244039",
            "country_code": "US",
            "telephone_number": "216-382-3806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOOKEN",
        "first_name": "ANN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35081935K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2376414",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ak@alliedderm.emadirect.md",
            "affiliation": "Y",
            "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"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ak@alliedderm.emadirect.md",
            "affiliation": "Y",
            "address_1": "5915 Landerbrook Dr",
            "city": "Mayfield Hts",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441244039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Douglas B Kolarik, M.D.
• Ayah Koleilat, DDS
• Erin M Kolonich, MA, CCC-SLP
• Michael A Kolonich, COTAL
• Dmitri Kolychev, M.D.
• Karen E Koplin, CNP
• Lisa Marie Kosley, RN
• James George Kotapish, Jr., D.D.S.,M.S.
• Rachel Krakora, APRN, PMHNP
• Ilana Kari Kramer, DDS

• 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 Nov 27, 2023; 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.