Individual provider Active NPI

Kristine Busse Zitelli, M.D.

  • Dermatology Physician
  • Cincinnati, OH
National Provider Identifier
1275824641
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35.125434 Issued in OH
Practice address
8350 E Kemper Rd Ste a
Cincinnati, OH 45249-1684
Phone
(512) 202-3883
NPI assigned
Apr 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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 35.125434 OH Primary

Addresses

Primary practice location

8350 E Kemper Rd Ste a
Cincinnati, OH 45249-1684

Mailing address

8350 E Kemper Rd Ste a
Cincinnati, OH 45249-1684
Phone (512) 202-3883

Other identifiers 1

IdentifierTypeStateIssuer
0101741MedicaidOH

Other names 1

  • Kristine Lynne Busse 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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150826001670 OH Practitioner - Dermatology 3779722269 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Wright State University Boonshoft School of Medicine, 2011
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)

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

8350 E Kemper Rd
Suite a
Cincinnati, OH 45249-1684
Phone (513) 256-1551

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) excision32
Removal of skin lesions784
Removal or shaving of skin growth32
Skin biopsy463

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.125434OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Dermatology Group, Inc Dermatology CurrentSince Sep 1, 2015 Accepting new patients
Queen City Dermatology Dermatology CurrentSince Jan 1, 2025 Accepting new patients

Locations

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

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

6507 Harrison Ave
Unit I
Cincinnati, OH 45247

4000 Smith Rd
Ste 210
Cincinnati, OH 45209

8350 E Kemper Rd
Ste A
Cincinnati, OH 45249
Phone (513) 256-1551

5298 Socialville Foster Rd
Mason, OH 45040
Phone (513) 770-0953

36 Remick Blvd
Springboro, OH 45066

7795 Discovery Dr
Ste B
West Chester, OH 45069

Interoperability endpoints

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

Organizations & group practices 2

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": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1275824641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 E KEMPER RD STE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452491684",
            "telephone_number": "512-202-3883",
            "fax_number": "513-296-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 E KEMPER RD STE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452491684",
            "telephone_number": "512-202-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZITELLI",
        "first_name": "KRISTINE",
        "middle_name": "BUSSE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.125434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101741",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "BUSSE",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.