Individual provider Active NPI

D Mark Oelrich, MD

  • Dermatology Physician
  • West Chester, OH
National Provider Identifier
1518975853
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OH35046715 Issued in OH
Practice address
7665 Monarch Court
Ste 107
West Chester, OH 45069
Phone
(513) 779-1800
Fax
(513) 779-1901
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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 OH35046715 OH Primary

Addresses

Primary practice location

7665 Monarch Court
Ste 107
West Chester, OH 45069

Mailing address

7665 Monarch Court
Ste 107
West Chester, OH 45069
Phone (513) 779-1800

Other identifiers 2

IdentifierTypeStateIssuer
000000029307OtherANTHEM
0640613MedicaidOH

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
I20100507000059 OH Practitioner - Dermatology 6507994837 Practice locations: West Chester, OH

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Cincinnati College of Medicine and Surgery, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7665 Monarch Court
Suite 107
West Chester, OH 45069

7665 Monarch CT
Suite 107
West Chester, OH 45069-6518
Phone (513) 779-1800

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions2154
Removal or shaving of skin growth50
Skin biopsy323

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OH35046715OHMDDermatology Physician

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1518975853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7665 MONARCH COURT",
            "address_2": "STE 107",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "45069",
            "telephone_number": "513-779-1800",
            "fax_number": "513-779-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7665 MONARCH COURT",
            "address_2": "STE 107",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "45069",
            "telephone_number": "513-779-1800",
            "fax_number": "513-779-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OELRICH",
        "first_name": "D",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "OH35046715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000029307",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0640613",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.