Individual provider Active NPI

Alan J Parks, M.D.

  • Dermatology Physician
  • Columbus, OH
National Provider Identifier
1598751653
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35054686P Issued in OH
Practice address
150 Taylor Station Rd
Suite 250
Columbus, OH 43213-4440
Phone
(614) 863-3222
Fax
(614) 863-4450
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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 35054686P OH Primary

Addresses

Primary practice location

150 Taylor Station Rd
Suite 250
Columbus, OH 43213-4440

Mailing address

150 Taylor Station Rd
Suite 250
Columbus, OH 43213-4440
Phone (614) 863-3222

Other identifiers 1

IdentifierTypeStateIssuer
0665856MedicaidOH

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
I20050606001025 OH Practitioner - Dermatology 4385687888 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
State University of New York Downstate Medical Center, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Dermatology of Columbus LLCGroup PAC ID 5193965358, 2 clinicians

Practice addresses (Care Compare)

150 Taylor Station Rd
Suite 250
Columbus, OH 43213-4440
Phone (614) 863-3222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision20
Removal of skin lesions744
Removal of skin cancer21
Skin biopsy181

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Dermatology of Columbus LLC Dermatology CurrentSince Aug 1, 2013 Accepting new patients
Women'S Health Care Associates Inc. Past Accepting new patients

Locations

150 Taylor Station Rd
Ste 250
Columbus, OH 43213
Phone (614) 863-3222

4617 Leap Ct
Hilliard, OH 43026
Phone (614) 345-0500

Interoperability endpoints

  • Direct secure messaging: parks.alan.001.0350010@eade.meditab.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1598751653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 TAYLOR STATION RD",
            "address_2": "SUITE 250",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432134440",
            "telephone_number": "614-863-3222",
            "fax_number": "614-863-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 TAYLOR STATION RD",
            "address_2": "SUITE 250",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432134440",
            "telephone_number": "614-863-3222",
            "fax_number": "614-863-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "ALAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35054686P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0665856",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.