Individual provider Active NPI

John D Dorsky, MD

  • General Practice Physician
  • Beachwood, OH
National Provider Identifier
1598850042
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35054025 Issued in OH
Practice address
3025 Science Park Dr
Beachwood, OH 44122-7333
Phone
(216) 455-6330
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 35054025 OH Primary
Surgery Physician 208600000X 35054025D OH

Addresses

Primary practice location

3025 Science Park Dr
Beachwood, OH 44122-7333

Mailing address

20775 S. Woodland Rd.
Shaker HTS., OH 44122-3011
Phone (440) 536-6759

Other identifiers 1

IdentifierTypeStateIssuer
0643503MedicaidOH

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
I20040614000387 OH Practitioner - General SurgeryPractitioner - General Practice 2163406794 Practice locations: Beachwood, OH

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: General Practice
Education
JS Weill Medical College, Cornell University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20775 S Woodland Rd
Shaker Heights, OH 44122-3011

23250 Mercantile Rd
Suite 140
Beachwood, OH 44122-5928
Phone (440) 552-2464

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue99
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35054025DOHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mdconsult, LLC General Practice CurrentSince Sep 8, 2025 Accepting new patients
Joel D. Weisblat, M.D., Inc. CurrentSince Apr 1, 2020 Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients

Locations

23250 Mercantile Rd
Ste 140
Beachwood, OH 44122
Phone (216) 464-4646

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11849/brand/1/csg/1/fhir/r4

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 1

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1598850042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20775 S. WOODLAND RD.",
            "city": "SHAKER HTS.",
            "state": "OH",
            "postal_code": "441223011",
            "telephone_number": "440-536-6759",
            "fax_number": "216-751-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 SCIENCE PARK DR",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227333",
            "telephone_number": "216-455-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSKY",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35054025",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35054025D",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0643503",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.