Individual provider Active NPI

Ibrahim Michael Zayneh, MD

  • Dermatology Physician
  • Portsmouth, OH
National Provider Identifier
1366515298
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35 08 1259 Z Issued in OH
Practice address
2127 25TH St
Portsmouth, OH 45662-3250
Phone
(740) 355-6634
Fax
(740) 355-1273
NPI assigned
Nov 16, 2006
Last updated
Apr 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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 08 1259 Z OH Primary

Addresses

Primary practice location

2127 25TH St
Portsmouth, OH 45662-3250

Mailing address

2127 25TH St
Portsmouth, OH 45662-3250
Phone (740) 355-6634

Other identifiers 1

IdentifierTypeStateIssuer
2329537MedicaidOH

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
I20040107000956 OH Practitioner - Dermatology 0345149449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ibrahim M Zayneh MD LLCGroup PAC ID 4183523228, 3 clinicians

Practice addresses (Care Compare)

2127 25TH St
Portsmouth, OH 45662-3250
Phone (740) 355-6634

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision96
Removal of tissue1-10
Removal of skin lesions950
Removal of skin cancer1-10
Removal or shaving of skin growth42
Skin biopsy97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35 08 1259 ZOHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonja Lichtenstein Zayneh MD LLC CurrentSince Oct 1, 2002 Accepting new patients
Ibrahim M Zayneh MD LLC Dermatology CurrentSince Aug 1, 2002 Accepting new patients

Locations

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

2127 25th St
Portsmouth, OH 45662
Phone (740) 355-6634

Interoperability endpoints

  • Direct secure messaging: emasupport@izayneh.emadirect.md
  • Direct secure messaging: ibrahim.zayneh@somc.medicity.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1366515298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 25TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623250",
            "telephone_number": "740-355-6634",
            "fax_number": "740-355-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 25TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623250",
            "telephone_number": "740-355-6634",
            "fax_number": "740-355-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAYNEH",
        "first_name": "IBRAHIM",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35 08 1259 Z",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2329537",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.