Active NPI
Angela O Kyei, M.D.
- Dermatology Physician
- Shaker Heights, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 35.097340
- Practice address
- 3461 Warrensville Center Rd Ste 100
Shaker Heights, OH 44122-5227 - Phone
- (216) 417-3250
- Fax
- (216) 417-3251
- NPI assigned
- Nov 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 35.097340 | OH | Primary |
Addresses
Primary practice location
3461 Warrensville Center Rd Ste 100
Shaker Heights, OH 44122-5227
Mailing address
2323 Lee Road
Cosmopolitan Dermatology
Cleveland Heights, OH 44118
Phone (216) 417-3250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0051799 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3461 Warrensville Ctr Rd
Suite 100
Shaker Heights, OH 44122-5227
Phone (216) 417-3250
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 89 |
| Skin biopsy | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Cosmopolitan Dermatology, Inc. | Dermatology | Current | Accepting new patients |
Locations
2351 E 22nd St
Cleveland, OH 44115
Phone (216) 363-2536
2323 Lee Rd
Cleveland Hts, OH 44118
Phone (216) 235-0408
3461 Warrensville Center Rd
Ste 100
Shaker Heights, OH 44122
Phone (216) 417-3250
Interoperability endpoints
- akyei67927@direct.ccf.org
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 and National Provider Directory roles.
-
- Dermatology Physician
- Shaker Heights, OH
- NPI 1376934935
-
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1053593566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 LEE ROAD",
"address_2": "COSMOPOLITAN DERMATOLOGY",
"city": "CLEVELAND HEIGHTS",
"state": "OH",
"postal_code": "44118",
"telephone_number": "216-417-3250",
"fax_number": "216-417-3251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3461 WARRENSVILLE CENTER RD STE 100",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441225227",
"telephone_number": "216-417-3250",
"fax_number": "216-417-3251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KYEI",
"first_name": "ANGELA",
"middle_name": "O",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-27",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OH",
"license": "35.097340",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0051799",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shaker Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.