Organization Active NPI

Cincinnati Skin Center LLC

  • Dermatology Physician
  • Cincinnati, OH
National Provider Identifier
1497503197
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
CINCINNATI SKIN CENTER LLC
Practice address
4565 E Galbraith Rd Ste a
Cincinnati, OH 45236-1875
Phone
(513) 201-7387
Fax
(508) 252-0995
NPI assigned
May 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mona Mislankar, MDNPI 1669714820
Title
MD/Owner
Phone
(513) 201-7387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

4565 E Galbraith Rd Ste a
Cincinnati, OH 45236-1875

Mailing address

4565 E Galbraith Rd Ste a
Cincinnati, OH 45236-1875
Phone (513) 201-7387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240903003398 OH Part B Supplier - Clinic/Group Practice 6305385469 Receives reassigned benefits from 1 practitioner
Practice locations: Cincinnati, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2312881Cincinnati Skin Center4565 East Galbraith Road, Suite a, Cincinnati, OH 45236Certificate of waiverOct 20, 2026

National Provider Directory

National Provider Directory

Locations

4565 E Galbraith Rd
Ste A
Cincinnati, OH 45236
Phone (513) 201-7387

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1497503197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4565 E GALBRAITH RD STE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452361875",
            "telephone_number": "513-201-7387",
            "fax_number": "508-252-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4565 E GALBRAITH RD STE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452361875",
            "telephone_number": "513-201-7387",
            "fax_number": "508-252-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINCINNATI SKIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "MISLANKAR",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "513-201-7387",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.