Individual provider Active NPI

Jacqueline M Dipierro, M.D.

  • Plastic Surgery Physician
  • Garfield Heights, OH
National Provider Identifier
1306814330
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
35-068387 Issued in OH
Practice address
12300 McCracken Rd
Garfield Heights, OH 44125-2914
Phone
(216) 581-0500
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 35-068387 OH Primary

Addresses

Primary practice location

12300 McCracken Rd
Garfield Heights, OH 44125-2914

Mailing address

PO Box 73327N
Cleveland, OH 44193-1094
Phone (440) 879-0078

Other identifiers 2

IdentifierTypeStateIssuer
2054440MedicaidOH
000000124459OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 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
I20040510001121 OH Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 8224027727 Reassigns benefits to 1 organization
I20180625003143 OH Practitioner - General SurgeryPractitioner - Plastic and Reconstructive Surgery 8224027727 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Plastic and Reconstructive Surgery
Education
Northeastern Ohio University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Hospitalist LLCGroup PAC ID 5496648123, 50 clinicians
North East Ohio Group Practice LLCGroup PAC ID 8426960618, 22 clinicians

Practice addresses (Care Compare)

11900 Fairhill Rd
FL 1
Cleveland, OH 44120-1062
Phone (216) 983-8030

6990 Engle Rd
Middleburg Heights, OH 44130-3420
Phone (440) 202-4200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-068387OHMDPlastic Surgery Physician
35.068387OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ameriwound LLC CurrentSince Apr 17, 2018 Accepting new patients
Community Hospitalist, LLC Hospitalist CurrentSince Dec 17, 2025 Accepting new patients
Serenagroup Professional Services, P.C. CurrentSince Apr 24, 2018 Accepting new patients
North East Ohio Group Practice LLC CurrentSince Jun 23, 2019 Accepting new patients

Locations

1 Akron General Ave
Ste 1603
Akron, OH 44307

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

14095 E Center St
Burton, OH 44021
Phone (440) 834-1084

11900 Fairhill Rd
Cleveland, OH 44120
Phone (216) 231-2344

11900 Fairhill Rd
Fl 1
Cleveland, OH 44120
Phone (216) 353-2501

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

6990 Engle Rd
Middleburg Heights, OH 44130
Phone (440) 202-4200

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

4220 Interchange Corporate Ctr Rd
Warrensville Heights, OH 44128

4220 Interchange Corporate Ctr Rd
Warrensville Heights, OH 44128
Phone (216) 910-3800

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1306814330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73327N",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441931094",
            "telephone_number": "440-879-0078",
            "fax_number": "440-879-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 MCCRACKEN RD",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252914",
            "telephone_number": "216-581-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPIERRO",
        "first_name": "JACQUELINE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "35-068387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2054440",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000124459",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

Verify at the official NPI Registry.