Individual provider Active NPI

Michelle M Choucair, M. D.

  • Dermatology Physician
  • Troy, OH
National Provider Identifier
1356395719
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35.080357 Issued in OH
Practice address
3006 N County Road 25a Ste 200
Troy, OH 45373-1372
Phone
(937) 339-8426
Fax
(937) 339-9790
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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 35.080357 OH Primary

Addresses

Primary practice location

3006 N County Road 25a Ste 200
Troy, OH 45373-1372

Mailing address

PO Box 1043
Troy, OH 45373-8043
Phone (937) 339-8426

Other identifiers 1

IdentifierTypeStateIssuer
2293192MedicaidOH

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
I20040315000299 OH Practitioner - Dermatology 3577452705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Dermatology, Laser and Vein ClinicGroup PAC ID 5799888251, 4 clinicians

Practice addresses (Care Compare)

3006 N County Rd
25A Suite 200
Troy, OH 45373-1372
Phone (937) 339-8426

Merit-based Incentive Payment System (MIPS)

Final score
75.26 of 100Reported as group
Quality
63.4
Improvement activities
40
Cost
66.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision97
Removal of skin lesions1076
Removal or shaving of skin growth13
Skin biopsy1301

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.080357OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Associates LLC Current Accepting new patients
Midwest Dermatology, Laser & Vein Clinic CurrentSince Feb 7, 2007 Accepting new patients
University Dermatology Consultants, Inc Dermatology Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

30 Remick Blvd
Springboro, OH 45066
Phone (937) 619-0222

3006 N County Road 25A
Ste 200
Troy, OH 45373
Phone (937) 335-2075

3006 N County Road 25A
Ste 300
Troy, OH 45373

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1356395719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1043",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453738043",
            "telephone_number": "937-339-8426",
            "fax_number": "937-333-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 N COUNTY ROAD 25A STE 200",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731372",
            "telephone_number": "937-339-8426",
            "fax_number": "937-339-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUCAIR",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.080357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2293192",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

Verify at the official NPI Registry.