Matthew Dacunha, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35.147217 Issued in OH

Practice address

3024 Burnet Ave
Cincinnati, OH 45219-2420

Phone

(513) 221-2828

Fax

(513) 872-5721

NPI assigned

Apr 1, 2019

Last updated

May 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

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 2

Specialty

Dermatology

Education

University of Kansas School of Med (KC/Wich/Sal), 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Epiphany Dermatology of Missouri LLCGroup PAC ID 1153689294, 21 clinicians

Epiphany Dermatology of Kansas LLCGroup PAC ID 4082046412, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.84 of 100Reported as group

Quality

80.25

Promoting interoperability

100

Improvement activities

40

Cost

82.55

Merit-based Incentive Payment System (MIPS)

Final score

94.17 of 100Reported as group

Quality

88.33

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/ab187e7e-b787-4906-b2dc-f4d9812dae4b/

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.

• Epiphany Dermatology of Kansas, LLC

  • Dermatology Physician
  • Overland Park, KS
  • NPI 1710444500

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Epiphany Dermatology of Missouri, LLC

  • Dermatology Physician
  • Saint Louis, MO
  • NPI 1528573342

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Kansas City Dermatology, P.a.

  • Procedural Dermatology Physician
  • Overland Park, KS
  • NPI 1831296383

  Multi-Specialty

  NPD
• Skin Cancer Center Inc

  • Ambulatory Surgical Clinic/Center
  • Cincinnati, OH
  • NPI 1871526004
  NPD (past)

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1659833622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BURNET AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192420",
            "telephone_number": "513-221-2828",
            "fax_number": "513-872-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 BURNET AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192420",
            "telephone_number": "513-221-2828",
            "fax_number": "513-872-5721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawkins Dr Dept Of",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-356-1694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4401 Wornall Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641113220",
            "country_code": "US",
            "telephone_number": "816-932-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DACUNHA",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "R-11726",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.147217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amar Ahmed Dabbagh
• Christine Mary Dacey, PH.D.
• Gerald J. Dacey, D.D.S.
• Loreto E Dacio, M.D.
• Lilly Dacres
• Anna Marie Daddabbo, MD
• Tessy Dade
• Akanksha Dadlani, MD, MPH
• Amy Dadosky, APRN
• Dadson's Heritage Medical Transport LLC.

• Dermatology Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.