Patricia I Ceballos, M.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

EMC0009709 Issued in MI

Practice address

1673 Gezon Pkwy SW
Wyoming, MI 49519-9519

Phone

(616) 243-3376

Fax

(616) 243-3377

NPI assigned

Sep 22, 2005

Last updated

Sep 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Patricia I Ceballos Professional name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00325
• Direct secure messaging: patricia.ceballos@forefrontdermatology.emadirect.md

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.

• Wolverine Dermatology, PC

  • Dermatology Physician
  • Wyoming, MI
  • NPI 1679085161
  NPD
• Sherry Shieh, M.D., P.C.

  • Dermatology Physician
  • New York, NY
  • NPI 1821295031
  NPD
• Shapiro and Borenstein Dermatology LLP

  dba Gardens Dermatology & Cosmetic Surgery Center

  • Dermatology Physician
  • Palm Beach Gardens, FL
  • NPI 1639276694
  NPD (past)
• Thomas John Zaydon Jr MD PA

  • Plastic Surgery Physician
  • Miami, FL
  • NPI 1073798591
  NPD (past)

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1528054855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 GEZON PKWY SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199519",
            "telephone_number": "616-243-3376",
            "fax_number": "616-243-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 GEZON PKWY SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199519",
            "telephone_number": "616-243-3376",
            "fax_number": "616-243-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEBALLOS",
        "first_name": "PATRICIA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "MI",
            "license": "EMC0009709",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "EMC0009709",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MI",
            "license": "EMC0009709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "CEBALLOS",
            "middle_name": "I",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christopher B Casto, DDS
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• Catherines Health Center
• Catherines Health Center (Catherine's Health Center Pharmacy)
• Center for Vein Restoration Mi PLLC
• Tiffany Cerrato
• Certified Emergency Medicine Specialists, PC
• Richard Stephen Cesarz
• Steven F Challa, DPM

• MOHS-Micrographic Surgery Physician in Wyoming, MI
• Providers in Wyoming, MI by specialty
• MOHS-Micrographic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.