Individual provider Active NPI

Elisabeth Tracey, M.D.

  • Dermatology Physician
  • Westlake, OH
National Provider Identifier
1134575269
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35.140228 Issued in OH
Practice address
4350 Crocker Road
Ste.300
Westlake, OH 44145-6329
Phone
(440) 588-8005
Fax
(440) 835-4790
NPI assigned
May 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X 35.140228 OH Primary

Addresses

Primary practice location

4350 Crocker Road
Ste.300
Westlake, OH 44145-6329

Mailing address

2000 Auburn Dr.
Ste.350
Beachwood, OH 44122-4327
Phone (440) 646-1600

Other identifiers 1

IdentifierTypeStateIssuer
0415378MedicaidOH

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
I20200828001345 OH Practitioner - Dermatology 1052604485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Perelman School of Med at the University of Pennsylvania, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Dermatology and Skin Surgery Center, LLCGroup PAC ID 1052589777, 52 clinicians

Practice addresses (Care Compare)

4350 Crocker Rd
Suite 300
Westlake, OH 44145-6329
Phone (440) 646-1600

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
78.38
Promoting interoperability
92
Improvement activities
40
Cost
79.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision88
Removal of skin lesions1993
Removal or shaving of skin growth489
Skin biopsy48

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Dermatology and Skin Surgery Center, LLC Dermatology CurrentSince Sep 1, 2020 Accepting new patients
Gary R Kutsikovich MD and Associates Inc Past Accepting new patients
SCH Professional Corporation Past Accepting new patients

Locations

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

5800 Landerbrook Dr
Ste 100
Mayfield Hts, OH 44124
Phone (323) 800-2799

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

4350 Crocker Rd
Ste 300
Westlake, OH 44145
Phone (440) 588-8005

Interoperability endpoints

  • Direct secure messaging: etracey@apexskin.emadirect.md

Organizations & group practices 3

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": "1462579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1134575269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 AUBURN DR.",
            "address_2": "STE.350",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224327",
            "telephone_number": "440-646-1600",
            "fax_number": "440-646-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 CROCKER ROAD",
            "address_2": "STE.300",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456329",
            "telephone_number": "440-588-8005",
            "fax_number": "440-835-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACEY",
        "first_name": "ELISABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-07",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.140228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0415378",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.