Individual provider Active NPI

Adrienne Callahan, M.D.

  • Dermatology Physician
  • Westlake, OH
National Provider Identifier
1639512551
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35.130892 Issued in OH
Practice address
950 Clague Rd Ste 104
Westlake, OH 44145-1533
Phone
(440) 250-2452
Fax
(440) 250-2452
NPI assigned
Apr 10, 2013
Last updated
Dec 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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 35.130892 OH Primary

Addresses

Primary practice location

950 Clague Rd Ste 104
Westlake, OH 44145-1533

Mailing address

950 Clague Rd Ste 104
Westlake, OH 44145-1533
Phone (440) 250-2452

Other names 1

  • Adrienne Welsh Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address acallahan@uhhospitals.encitedirect.com

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
I20170712001771 OH Practitioner - Dermatology 7012144835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

950 Clague Rd
Westlake, OH 44145-1503
Phone (440) 250-2440

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions289
Removal or shaving of skin growth1-10
Skin biopsy108

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc Dermatology CurrentSince Aug 1, 2017 Accepting new patients

Locations

11100 Euclid Ave
Cleveland Heights, OH 44106

950 Clague Rd
Ste 104
Westlake, OH 44145
Phone (440) 250-2452

Interoperability endpoints

  • Direct secure messaging: acallahan@uhhospitals.encitedirect.com
  • Direct secure messaging: acallahan36674@ehrdirect.uhhospitals.org

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": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1639512551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 CLAGUE RD STE 104",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451533",
            "telephone_number": "440-250-2452",
            "fax_number": "440-250-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 CLAGUE RD STE 104",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451533",
            "telephone_number": "440-250-2452",
            "fax_number": "440-250-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "ADRIENNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.130892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acallahan@uhhospitals.encitedirect.com",
            "affiliation": "N",
            "address_1": "950 Clague Rd Ste 104",
            "city": "Westlake",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441451533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ADRIENNE",
            "last_name": "WELSH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.