Organization Active NPI

Radiant Dermatology LLC

  • Dermatology Physician
  • Mentor, OH
National Provider Identifier
1518621663
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
RADIANT DERMATOLOGY LLC
Practice address
6990 Lindsay Dr Ste 5
Mentor, OH 44060-4981
Phone
(440) 290-9616
NPI assigned
Oct 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Dr. Miriam Finkel, MDNPI 1043606189
Title
Owner
Phone
(440) 290-9616

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

6990 Lindsay Dr Ste 5
Mentor, OH 44060-4981

Mailing address

6990 Lindsay Dr Ste 5
Mentor, OH 44060-4981
Phone (440) 290-9616

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MFinkel@MDchartsdirect.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211124001730 OH Part B Supplier - Clinic/Group Practice 0143610618 Receives reassigned benefits from 1 practitioner
Practice locations: Mentor, 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
36D2264978Radiant Dermatology6990 Lindsay Drive, Mentor, OH 44060Certificate of waiverJul 20, 2026

National Provider Directory

National Provider Directory

Locations

8224 Mentor Ave
Ste 146
Mentor, OH 44060
Phone (440) 255-3555

Interoperability endpoints

  • Direct secure messaging: mfinkel@mdchartsdirect.com

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": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1518621663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6990 LINDSAY DR STE 5",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604981",
            "telephone_number": "440-290-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6990 LINDSAY DR STE 5",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604981",
            "telephone_number": "440-290-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "FINKEL",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-290-9616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MFinkel@MDchartsdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6990 Lindsay Dr Ste 5",
            "city": "Mentor",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440604981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.