Individual provider Active NPI

Gregory Raymond Delost, D.O.

  • Dermatology Physician
  • Mayfield Heights, OH
National Provider Identifier
1073995791
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
34.013691 Issued in OH
Practice address
5800 Landerbrook Dr Ste 250
Mayfield Heights, OH 44124-4047
Phone
(440) 646-1600
Fax
(440) 646-1505
NPI assigned
Jun 19, 2015
Last updated
Sep 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 34.013691 OH Primary

Addresses

Primary practice location

5800 Landerbrook Dr Ste 250
Mayfield Heights, OH 44124-4047

Mailing address

130 Lakeshore Dr
Struthers, OH 44471-1454
Phone (330) 720-4259

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
I20190816002208 OH Practitioner - Dermatology 3274831805 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optima Dermatology LLCGroup PAC ID 3971561648, 74 clinicians

Practice addresses (Care Compare)

987 Boardman Canfield Rd
Boardman, OH 44512-4222
Phone (330) 965-8760

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision68
Removal of tissue1-10
Removal of skin lesions946
Removal or shaving of skin growth323
Skin biopsy11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.013691OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Dermatology and Skin Surgery Center, LLC Dermatology CurrentSince Aug 1, 2019 Accepting new patients
Optima Dermatology LLC Dermatology CurrentSince Jan 9, 2023 Accepting new patients
Advanced Dermatology and Skin Cancer Center Past Accepting new patients
SCH Professional Corporation Past Accepting new patients
Gary R Kutsikovich MD and Associates Inc Past Accepting new patients

Locations

7580 Auburn Rd
Ste 301
Concord Township, OH 44077
Phone (440) 352-7546

6701 Rockside Rd
Ste 260
Independence, OH 44131
Phone (216) 369-2525

29111 Cedar Rd
Mayfield Hts, OH 44124
Phone (440) 646-1600

5800 Landerbrook Dr
Ste 200
Mayfield Hts, OH 44124
Phone (440) 446-1555

5800 Landerbrook Dr
Ste 250
Mayfield Hts, OH 44124
Phone (440) 544-1940

7676 Reynolds Rd
Mentor, OH 44060
Phone (440) 283-3015

8183 Golden Link Blvd
Northfield, OH 44067
Phone (330) 306-9844

987 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 271-8589

Interoperability endpoints

  • Direct secure messaging: gdelost@optima.emadirect.md
  • Direct secure messaging: gdelost218630@ehrdirect.uhhospitals.org

Organizations & group practices 5

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": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1073995791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LAKESHORE DR",
            "city": "STRUTHERS",
            "state": "OH",
            "postal_code": "444711454",
            "telephone_number": "330-720-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 LANDERBROOK DR STE 250",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244047",
            "telephone_number": "440-646-1600",
            "fax_number": "440-646-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOST",
        "first_name": "GREGORY",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-19",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34.013691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Heights, OH

Sources for this page

Verify at the official NPI Registry.