Michael Todd McKelvey, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35087411 Issued in OH

Practice address

925 N Hamilton Rd
Suite 100
Gahanna, OH 43230-8708

Phone

(614) 473-9519

Fax

(614) 626-7774

NPI assigned

Apr 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Dermatology and Cosmetic Surgery CenterGroup PAC ID 2264439181, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmckelvey@northeastskin.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.

• Northeast Dermatology and Cosmetic Surgery Center

  • Dermatology Physician
  • Gahanna, OH
  • NPI 1609882836
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1063477008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N HAMILTON RD",
            "address_2": "SUITE 100",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432308708",
            "telephone_number": "614-473-9519",
            "fax_number": "614-473-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 N HAMILTON RD",
            "address_2": "SUITE 100",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432308708",
            "telephone_number": "614-473-9519",
            "fax_number": "614-626-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKELVEY",
        "first_name": "MICHAEL",
        "middle_name": "TODD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35087411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmckelvey@northeastskin.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Northeast Dermatology & Cosmetic Surgery Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "925 N Hamilton Rd",
            "address_2": "Suite 100",
            "city": "Gahanna",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432308708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Warren A McGee, MD
• Michele Aline McGinn, OTRL
• Leigha E McGlone, ANCC BOARD CERTIFIED
• Kathleen Margaret McKee, PTA
• Maria Cristina McKee, PT
• Leah McLain
• Cameron Lee McMahen, DPM
• Robin M McMahon, OTR/L
• Karla McPherson, RN
• Mdsccc

• Dermatology Physician in Gahanna, OH
• Providers in Gahanna, 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 8, 2024; 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.