Individual provider Active NPI

Allison J Moosally, MD

  • MOHS-Micrographic Surgery Physician
  • Fairlawn, OH
National Provider Identifier
1104847334
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
35088136 Issued in OH
Practice address
3624 W Market St
Suite 101
Fairlawn, OH 44333-4510
Phone
(330) 665-0555
Fax
(330) 665-0556
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 35088136 OH
MOHS-Micrographic Surgery Physician 207ND0101X 35088136 OH Primary

Addresses

Primary practice location

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

Mailing address

3624 W Market St
Suite 101
Fairlawn, OH 44333-4510
Phone (330) 665-0555

Other practice location 1

5915 Landerbrook Dr Ste 120
Mayfield Hts, OH 44124-4034
Phone (216) 382-3806

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address am@alliedderm.emadirect.md Allied Dermatology and Skin Surgery, LLC
Direct Messaging Address am@alliedderm.emadirect.md Allied Dermatology and Skin Surgery, LLC

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
I20060911000302 OH Practitioner - Dermatology 9830193648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2002
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)

3624 W Market St
Suite 101
Fairlawn, OH 44333-4510
Phone (330) 665-0555

5915 Landerbrook Dr
Suite 120
Mayfield Heights, OH 44124-4034
Phone (216) 382-3806

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

ProcedureNumber of procedures
Melanoma (skin cancer) excision98
Removal of tissue1-10
Removal of skin lesions199
Removal of skin cancer574
Removal or shaving of skin growth1-10
Skin biopsy76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35088136OHMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Dermatology and Skin Surgery, LLC Dermatology CurrentSince Mar 1, 2015 Accepting new patients

Locations

3624 W Market St
Ste 101
Fairlawn, OH 44333
Phone (330) 665-0555

3624 W Market St
Fairlawn, OH 44333
Phone (330) 665-0555

5915 Landerbrook Dr
Ste 120
Mayfield Hts, OH 44124
Phone (216) 382-3806

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1104847334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 W MARKET ST",
            "address_2": "SUITE 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",
            "address_2": "SUITE 101",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334510",
            "telephone_number": "330-665-0555",
            "fax_number": "330-665-0556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5915 Landerbrook Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Mayfield Hts",
            "state": "OH",
            "postal_code": "441244034",
            "country_code": "US",
            "telephone_number": "216-382-3806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOOSALLY",
        "first_name": "ALLISON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35088136",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OH",
            "license": "35088136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "am@alliedderm.emadirect.md",
            "affiliation": "Y",
            "affiliationName": "Allied Dermatology and Skin Surgery, LLC",
            "address_1": "3624 W Market St",
            "address_2": "Suite 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": "am@alliedderm.emadirect.md",
            "affiliation": "Y",
            "affiliationName": "Allied Dermatology and Skin Surgery, LLC",
            "address_1": "5915 Landerbrook Dr Ste 120",
            "city": "Mayfield Hts",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441244034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.