Individual provider Active NPI

Catherine A Vlastaris, MD

  • Dermatology Physician
  • Avon, OH
National Provider Identifier
1407803042
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35064822 Issued in OH
Practice address
33100 Cleveland Clinic Blvd - Avw3-2
Cleveland Clinic Richard E Jacobs Health Center
Avon, OH 44011
Phone
(440) 695-4000
Fax
(440) 695-4389
NPI assigned
May 28, 2006
Last updated
Mar 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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 35064822 OH Primary

Addresses

Primary practice location

33100 Cleveland Clinic Blvd - Avw3-2
Cleveland Clinic Richard E Jacobs Health Center
Avon, OH 44011

Mailing address

33100 Cleveland Clinic Blvd - Avw3-2
Cleveland Clinic Richard E Jacobs Health Center
Avon, OH 44011
Phone (440) 695-4000

Other identifiers 2

IdentifierTypeStateIssuer
070017531OtherOHRAILROAD MEDICARE
2091525MedicaidOH

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
I20031226000211 OH Practitioner - Dermatology 9032017264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions345
Skin biopsy423

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35064822OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Nov 25, 2015 Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients

Locations

33100 Cleveland Clinic Blvd
#32
Avon, OH 44011
Phone (440) 695-4000

18099 Lorain Ave
Ph
Cleveland, OH 44111
Phone (216) 476-3377

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

20455 Lorain Rd
Ste 304
Fairview Park, OH 44126
Phone (440) 333-6444

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

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 2

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1407803042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33100 CLEVELAND CLINIC BLVD - AVW3-2",
            "address_2": "CLEVELAND CLINIC RICHARD E JACOBS HEALTH CENTER",
            "city": "AVON",
            "state": "OH",
            "postal_code": "44011",
            "telephone_number": "440-695-4000",
            "fax_number": "440-695-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33100 CLEVELAND CLINIC BLVD - AVW3-2",
            "address_2": "CLEVELAND CLINIC RICHARD E JACOBS HEALTH CENTER",
            "city": "AVON",
            "state": "OH",
            "postal_code": "44011",
            "telephone_number": "440-695-4000",
            "fax_number": "440-695-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLASTARIS",
        "first_name": "CATHERINE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35064822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070017531",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2091525",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, OH

Sources for this page

Verify at the official NPI Registry.