Individual provider Active NPI

Michael David Reep, MD

  • Dermatology Physician
  • Westlake, OH
National Provider Identifier
1578544284
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
075531R Issued in OH
Practice address
2205 Crocker Rd Ste 109
Westlake, OH 44145-6710
Phone
(440) 482-8323
Fax
(440) 808-1718
NPI assigned
Nov 9, 2005
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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 075531R OH Primary

Addresses

Primary practice location

2205 Crocker Rd Ste 109
Westlake, OH 44145-6710

Mailing address

2205 Crocker Rd Ste 109
Westlake, OH 44145-6710
Phone (440) 249-0274

Other practice location 1

18660 Bagley Rd Ste 501
Building 1
Middleburg Heights, OH 44130-3483
Phone (440) 482-8424

Other identifiers 1

IdentifierTypeStateIssuer
2253654MedicaidOH

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
I20080506000423 OH Practitioner - Dermatology 9335228071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Ohio, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Dermatology, Inc.Group PAC ID 2668495409, 11 clinicians

Practice addresses (Care Compare)

18660 Bagley Rd
Suite 1
Middleburg Heights, OH 44130-3483
Phone (440) 234-3104

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision21
Removal of skin lesions1207
Removal or shaving of skin growth297
Skin biopsy27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
075531ROHMDDermatology Physician

Interoperability endpoints

  • Direct secure messaging: mreep@direct.swgeneral.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1578544284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 CROCKER RD STE 109",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456710",
            "telephone_number": "440-249-0274",
            "fax_number": "440-808-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 CROCKER RD STE 109",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456710",
            "telephone_number": "440-482-8323",
            "fax_number": "440-808-1718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18660 Bagley Rd Ste 501",
            "address_2": "Building 1",
            "address_purpose": "LOCATION",
            "city": "Middleburg Heights",
            "state": "OH",
            "postal_code": "441303483",
            "country_code": "US",
            "telephone_number": "440-482-8424",
            "fax_number": "440-808-1718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REEP",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "075531R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2253654",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.