Individual provider Active NPI

Hayley Edythe Iosue, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Mentor, OH
National Provider Identifier
1184076978
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.003915 Issued in OH
Practice address
8334 Mentor Ave Ste 100
Mentor, OH 44060-5757
Phone
(440) 357-8418
Fax
(440) 255-9400
NPI assigned
Jul 6, 2016
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36.003915 OH Primary

Addresses

Primary practice location

8334 Mentor Ave Ste 100
Mentor, OH 44060-5757

Mailing address

8334 Mentor Ave Ste 100
Mentor, OH 44060-5757
Phone (440) 357-8418

Other practice location 1

12575 Rockside Rd Ste 104
Garfield Hts, OH 44125-4571
Phone (440) 357-8418

Other practice location 2

325 Center St Ste 3
Chardon, OH 44024-1193
Phone (440) 357-8418

Other identifiers 1

IdentifierTypeStateIssuer
0463457MedicaidOH

Other names 1

  • Hayley Edythe Ebersbacher Former name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211015000436 OH Practitioner - Podiatry 2163757931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8334 Mentor Ave
Suite 100
Mentor, OH 44060-5757
Phone (440) 357-8418

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue77
Removal of skin lesions1-10
Removal of nail tissue446
Removal or shaving of skin growth130
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36.003915OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake County Foot & Ankle Associates, LLC Foot & Ankle Surgery CurrentSince Oct 7, 2021 Accepting new patients
Lake County Foot & Ankle Associates, LLC Foot & Ankle Surgery CurrentSince Oct 7, 2021 Accepting new patients
Lake County Foot & Ankle Associates, LLC PastSince Jul 7, 2024 Accepting new patients

Locations

325 Center St
Ste 3
Chardon, OH 44024
Phone (440) 285-2456

12575 Rockside Rd
Ste 104
Garfield Hts, OH 44125
Phone (216) 365-9700

7482 Center St
Unit 100
Mentor, OH 44060
Phone (440) 305-7564

8334 Mentor Ave
Ste 100
Mentor, OH 44060
Phone 44035784188

119 Broad St
Wadsworth, OH 44281
Phone (330) 334-1534

Interoperability endpoints

  • Direct secure messaging: hiosue219017@ehrdirect.uhhospitals.org
  • Direct secure messaging: hiosuedpm@ofas.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1184076978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8334 MENTOR AVE STE 100",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605757",
            "telephone_number": "440-357-8418",
            "fax_number": "440-255-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8334 MENTOR AVE STE 100",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605757",
            "telephone_number": "440-357-8418",
            "fax_number": "440-255-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12575 Rockside Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Garfield Hts",
            "state": "OH",
            "postal_code": "441254571",
            "country_code": "US",
            "telephone_number": "440-357-8418",
            "fax_number": "440-255-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Center St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Chardon",
            "state": "OH",
            "postal_code": "440241193",
            "country_code": "US",
            "telephone_number": "440-357-8418",
            "fax_number": "440-255-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IOSUE",
        "first_name": "HAYLEY",
        "middle_name": "EDYTHE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0463457",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAYLEY",
            "last_name": "EBERSBACHER",
            "middle_name": "EDYTHE",
            "credential": "D.P.M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.