Individual provider Active NPI

Rachel Mazzola, DPM

  • Foot & Ankle Surgery Podiatrist
  • Richmond Heights, OH
National Provider Identifier
1366062093
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
APP-000347026 Issued in OH
Practice address
27155 Chardon Rd Ste 201
Richmond Heights, OH 44143-1166
Phone
(440) 516-8704
NPI assigned
Apr 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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 APP-000347026 OH Primary

Addresses

Primary practice location

27155 Chardon Rd Ste 201
Richmond Heights, OH 44143-1166

Mailing address

27155 Chardon Rd Ste 201
Richmond Heights, OH 44143-1166
Phone (440) 516-8704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230921002301 OH Practitioner - Podiatry 1355772070 Reassigns benefits to 2 organizations
I20230926004198 PA Practitioner - Podiatry 1355772070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Care Consultants LLCGroup PAC ID 2567646359, 29 clinicians
Mobile Medical IncGroup PAC ID 5890765481, 80 clinicians

Practice addresses (Care Compare)

6789 Ridge Rd
Suite 305
Parma, OH 44129-5635
Phone (440) 491-8334

740 Commerce Dr
Suite a
Perrysburg, OH 43551-5276
Phone 24852821166

Merit-based Incentive Payment System (MIPS)

Final score
93.57 of 100Reported as group
Quality
58.53
Promoting interoperability
100
Improvement activities
40
Cost
86.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1417
Removal or shaving of skin growth80

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APP-000347026OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medical Inc Current Accepting new patients
Wound Care Consultants LLC Foot & Ankle Surgery CurrentSince Aug 1, 2023 Accepting new patients
Mobile Medical, Inc. CurrentSince Oct 24, 2023 Accepting new patients
Mobile Medical, Inc. CurrentSince Oct 24, 2023 Accepting new patients
Pedirite Medical PA PLLC CurrentSince Aug 13, 2023 Accepting new patients
Mobile Medical, Inc. Past Accepting new patients

Locations

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

23250 Chagrin Blvd
Ste 150
Beachwood, OH 44122
Phone (216) 402-0027

6789 Ridge Rd
Ste 305
Parma, OH 44129
Phone (440) 491-8334

3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393

740 Commerce Dr
Ste A
Perrysburg, OH 43551
Phone 24852821166

850 E Midlothian Blvd
Youngstown, OH 44502
Phone (330) 333-8293

313 W County Line Rd
Hatboro, PA 19040
Phone (215) 674-5005

Organizations & group practices 6

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": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1366062093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27155 CHARDON RD STE 201",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441431166",
            "telephone_number": "440-516-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27155 CHARDON RD STE 201",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441431166",
            "telephone_number": "440-516-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZOLA",
        "first_name": "RACHEL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "APP-000347026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Heights, OH

Sources for this page

Verify at the official NPI Registry.