Individual provider Active NPI

Anthony Lawrence Mehle, M.D.

  • Dermatology Physician
  • Youngstown, OH
National Provider Identifier
1609870567
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35-05-9099 Issued in OH
Practice address
960 Windham Court
Suite 2
Youngstown, OH 44512
Phone
(330) 758-8866
Fax
(330) 758-4051
NPI assigned
Jun 9, 2005
Reactivated
Mar 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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 35-05-9099 OH Primary

Addresses

Primary practice location

960 Windham Court
Suite 2
Youngstown, OH 44512

Mailing address

960 Windham Court
Suite 2
Youngstown, OH 44512
Phone (330) 758-8866

Other identifiers 1

IdentifierTypeStateIssuer
0784594MedicaidOH

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
I20041229000018 OH Practitioner - Dermatology 9931167673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Northeastern Ohio University College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

960 Windham CT
Suite 2
Youngstown, OH 44512-5087
Phone (330) 758-8866

Merit-based Incentive Payment System (MIPS)

Final score
87.6 of 100Reported as individual
Quality
75.19
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions494
Removal or shaving of skin growth1-10
Skin biopsy33

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Centre of Northeast Ohio, LLC CurrentSince Jan 3, 2005 Accepting new patients

Locations

960 Windham Ct
Ste 2
Youngstown, OH 44512
Phone (330) 758-8866

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1609870567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 WINDHAM COURT",
            "address_2": "SUITE 2",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44512",
            "telephone_number": "330-758-8866",
            "fax_number": "330-758-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 WINDHAM COURT",
            "address_2": "SUITE 2",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44512",
            "telephone_number": "330-758-8866",
            "fax_number": "330-758-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHLE",
        "first_name": "ANTHONY",
        "middle_name": "LAWRENCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2024-06-27",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35-05-9099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0784594",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.