Individual provider Active NPI

Elizabeth E. Uhlenhake, MD

  • Dermatology Physician
  • Mason, OH
National Provider Identifier
1215168745
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35-122560 Issued in OH
Practice address
5298 Socialville Foster Rd
Mason, OH 45040-9302
Phone
(513) 770-4212
Fax
(513) 770-4213
NPI assigned
Jul 31, 2009
Last updated
Apr 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 35-122560 OH Primary
Dermatology Physician 207N00000X DR.0055881 CO
Dermatopathology Physician 207ND0900X 35-122560 OH
Dermatopathology Physician 207ND0900X DR.0055881 CO

Addresses

Primary practice location

5298 Socialville Foster Rd
Mason, OH 45040-9302

Mailing address

5298 Socialville Foster Rd
Mason, OH 45040-9302
Phone (513) 770-4212

Other identifiers 1

IdentifierTypeStateIssuer
0209720MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141002002082 OH Practitioner - DermatologyPractitioner - Pathology 0648490268 Reassigns benefits to 1 organization
I20260303002496 NH Practitioner - Dermatology 0648490268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Dermatology Group IncGroup PAC ID 6406740141, 19 clinicians

Practice addresses (Care Compare)

111 Maplewood Ave
Suite a
Portsmouth, NH 03801-3749
Phone (978) 691-5690

23 Hampton Rd
Exeter, NH 03833-4807
Phone (978) 691-5690

5298 Socialville Foster Rd
Mason, OH 45040-9302
Phone (513) 770-4212

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision31
Removal of skin lesions107
Skin biopsy73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0055881COMDDermatopathology Physician
35-122560OHMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Dermatology Associates, PC CurrentSince Jan 24, 2026 Accepting new patients
The Dermatology Group, Inc Dermatology CurrentSince Apr 1, 2017 Accepting new patients
Neda at North Shore PC Dermatology CurrentSince Jan 24, 2026 Accepting new patients
Advanced Dermatology of Colorado, PC Dermatology Past Accepting new patients

Locations

330 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (513) 241-2360

330 Thomas More Pkwy
Ste 201
Crestview Hills, KY 41017
Phone (853) 934-4621

9403 Kenwood Rd
Ste B100
Blue Ash, OH 45242
Phone (513) 891-8045

1 Aviation Way
Cincinnati, OH 45215
Phone (513) 243-2946

4000 Smith Rd
Ste 210
Cincinnati, OH 45209

4450 Eastgate Blvd
Ste 232
Cincinnati, OH 45245
Phone (513) 752-2247

6507 Harrison Ave
Unit I
Cincinnati, OH 45247

5184 Socialville Foster Rd
Mason, OH 45040
Phone (513) 770-0953

5298 Socialville Foster Rd
Mason, OH 45040

36 Remick Blvd
Springboro, OH 45066

7795 Discovery Dr
Ste B
West Chester, OH 45069

302 Innovation Dr
Ste 400
Franklin, TN 37067

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5662/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1215168745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5298 SOCIALVILLE FOSTER RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450409302",
            "telephone_number": "513-770-4212",
            "fax_number": "513-770-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5298 SOCIALVILLE FOSTER RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450409302",
            "telephone_number": "513-770-4212",
            "fax_number": "513-770-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UHLENHAKE",
        "first_name": "ELIZABETH",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-31",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35-122560",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "DR.0055881",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "OH",
            "license": "35-122560",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CO",
            "license": "DR.0055881",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0209720",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.