Lauren C. Aberegg, MD – Dermatology Physician

Key facts

NPI: 1477083111
Entity type: Individual (NPI type 1)
Primary specialty: Dermatology Physician 207N00000X
License: 35.141509 (OH)
Practice address: 55 Merz Blvd Unit a
Fairlawn, OH 44333-2895
Phone: (330) 864-9000
Fax: (330) 864-9004
NPI assigned: Jun 15, 2017
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

The Cleveland Clinic Foundation General Acute Care Hospital · Cleveland, OH · NPI 1679525919

Medicare reassignment NPD OH
Dermatologists of Southwestern Ohio, LLC. Dermatology Physician · Dayton, OH · NPI 1801819883

NPD (past) DERMATOLOGY

Medicare participation

Medicare fee-for-service enrollment: Enrolled in OH
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20210813001275	OH	Practitioner - Dermatology	0840569018	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

Practice roles

Organization	Specialty	Status	New patients
The Cleveland Clinic Foundation		Current since Jul 14, 2021	Accepting new patients
Dermatologists of Southwestern Ohio, LLC.	Dermatology	Past since Dec 1, 2022	Accepting new patients

Locations

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

857 Graham Rd
Cuyahoga Falls, OH 44221
Phone (330) 923-9585

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dermatology Physician	207N00000X	35.141509	OH	Yes

Addresses

Primary practice location

55 Merz Blvd Unit a
Fairlawn, OH 44333-2895

Mailing address

55 Merz Blvd Unit a
Fairlawn, OH 44333-2895
Phone (330) 864-9000

Other identifiers

Identifier	Type	State	Issuer
0454301	Medicaid	OH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 3, 2023.

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1477083111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MERZ BLVD UNIT A",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443332895",
            "telephone_number": "330-864-9000",
            "fax_number": "330-864-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MERZ BLVD UNIT A",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443332895",
            "telephone_number": "330-864-9000",
            "fax_number": "330-864-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEREGG",
        "first_name": "LAUREN",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.141509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0454301",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

All providers in Fairlawn, OH · Dermatology Physician in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.