Individual provider Active NPI

Stephanie K. Fabbro, M.D.

  • Dermatology Physician
  • Columbus, OH
National Provider Identifier
1164798500
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35128224 Issued in OH
Practice address
4300 Clime Rd Ste 100
Columbus, OH 43228-6491
Phone
(614) 887-7723
Fax
(614) 639-8003
NPI assigned
Mar 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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 35128224 OH Primary

Addresses

Primary practice location

4300 Clime Rd Ste 100
Columbus, OH 43228-6491

Mailing address

4300 Clime Rd Ste 100
Columbus, OH 43228-6491
Phone (614) 887-7723

Other practice location 1

425 Metro Pl N Ste 195
Dublin, OH 43017-5361
Phone (614) 887-7723

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
I20160526001892 OH Practitioner - Dermatology 4880835503 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians
Rixis Dermatology LLCGroup PAC ID 2860931961, 2 clinicians

Practice addresses (Care Compare)

3595 Olentangy River Rd
Columbus, OH 43214-3440
Phone (614) 566-5456

4300 Clime Rd
Suite 100
Columbus, OH 43228-6491
Phone (614) 887-7723

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision49
Removal of skin lesions411
Skin biopsy196

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35128224OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation Current Accepting new patients
Ohiohealth Corporation CurrentSince Jan 12, 2019 Accepting new patients
Ohiohealth Corporation CurrentSince Jan 12, 2019 Accepting new patients
Rixis Dermatology LLC Dermatology CurrentSince Jul 15, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3595 Olentangy River Rd
Columbus, OH 43214
Phone (614) 556-5456

Dept L3652
Columbus, OH 43260

4300 Clime Rd
Ste 100
Columbus, OH 43228
Phone (614) 275-4300

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

425 Metro Pl N
Ste 195
Dublin, OH 43017
Phone (614) 602-6455

Interoperability endpoints

  • Direct secure messaging: sfabbro@dermswohio.emadirect.md
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00343

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1164798500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 CLIME RD STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432286491",
            "telephone_number": "614-887-7723",
            "fax_number": "614-639-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 CLIME RD STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432286491",
            "telephone_number": "614-887-7723",
            "fax_number": "614-639-8003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Metro Pl N Ste 195",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430175361",
            "country_code": "US",
            "telephone_number": "614-887-7723",
            "fax_number": "614-639-8003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FABBRO",
        "first_name": "STEPHANIE",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35128224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.