Individual provider Active NPI

Muneeb Akbar Ilyas, D.O.

  • Dermatology Physician
  • Parma, OH
National Provider Identifier
1659876308
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
34.017077 Issued in OH
Practice address
6820 Ridge Road
Suite #204
Parma, OH 44129-5647
Phone
(440) 845-1146
Fax
(440) 845-4023
NPI assigned
Mar 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0102207757 VA
Dermatology Physician 207N00000X 34.017077 OH Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

6820 Ridge Road
Suite #204
Parma, OH 44129-5647

Mailing address

2000 Auburn Dr.
Ste. 350
Beachwood, OH 44122-4327
Phone (440) 646-1600

Other practice location 1

417 4th St
Defiance, OH 43512-2605
Phone (419) 785-4660

Other practice location 2

106 S Lafayette St
South Lyon, MI 48178-1404
Phone (947) 348-1176

Other practice location 3

1100 W Main St
Woodville, OH 43469-9723
Phone (419) 724-5820

Other practice location 4

1090 N Shoop Ave
Wauseon, OH 43567-1821
Phone (419) 330-5200

Other practice location 5

7301 Secor Rd
Lambertville, MI 48144-9737
Phone (419) 479-5795

Other practice location 6

1070 N Shoop Ave
Wauseon, OH 43567-1821
Phone (419) 330-5200

Other practice location 7

341 Trenton Ave
Findlay, OH 45840-3745
Phone (567) 250-8212

Other identifiers 1

IdentifierTypeStateIssuer
0054733MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH, MI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20230223001435 FL Practitioner - Dermatology 5799158697 Reassigns benefits to 1 organization
I20240625000670 OH Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 5799158697 Reassigns benefits to 4 organizations
I20240717002236 MI Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 5799158697 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toledo Clinic PLLCGroup PAC ID 8426585142, 12 clinicians
Apex Dermatology and Skin Surgery Center, LLCGroup PAC ID 1052589777, 52 clinicians

Practice addresses (Care Compare)

1136 Country Club Rd
Unit C
Adrian, MI 49221-8209
Phone (517) 366-5110

6820 Ridge Rd
Suite 204
Parma, OH 44129-5647
Phone (440) 845-1146

7301 Secor Rd
Lambertville, MI 48144-9737
Phone (419) 479-5795

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision77
Removal of skin lesions135
Removal of skin cancer1041
Removal or shaving of skin growth1-10
Skin biopsy58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.017077OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Clinic PLLC Dermatology CurrentSince Oct 31, 2024 Accepting new patients
Toledo Clinic Incorporated Current Accepting new patients
Toledo Clinic Incorporated Dermatology Current Accepting new patients
Blue Ocean Dermatology LLC Dermatology CurrentSince Feb 1, 2023 Accepting new patients
Toledo Clinic Incorporated CurrentSince Jul 11, 2024 Accepting new patients
Toledo Clinic Incorporated CurrentSince Jul 11, 2024 Accepting new patients
Toledo Clinic Incorporated CurrentSince Jul 11, 2024 Accepting new patients
Parker Skin & Aesthetic Clinic Inc. Dermatology CurrentSince Aug 5, 2024 Accepting new patients
Apex Dermatology and Skin Surgery Center, LLC Dermatology CurrentSince Feb 1, 2025 Accepting new patients
Toledo Clinic PLLC Dermatology CurrentSince Oct 31, 2024 Accepting new patients
Dermatology on the Spot, LLC Dermatology Past Accepting new patients
Gary R Kutsikovich MD and Associates Inc Past Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients
SCH Professional Corporation Past Accepting new patients

Locations

1004 N Parrott Ave
Okeechobee, FL 34972
Phone (863) 357-7447

3951 S Nova Rd
Ste 3
Port Orange, FL 32127

3951 S Nova Rd
Pt Orange, FL 32127
Phone (386) 763-4484

1136 Country Club Rd
Unit C
Adrian, MI 49221
Phone (517) 336-5110

1136 Country Club Rd
Adrian, MI 49221
Phone (517) 265-0293

7301 Secor Rd
Lambertville, MI 48144
Phone (419) 479-5795

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

106 S Lafayette St
South Lyon, MI 48178
Phone (947) 348-1176

3737 Park East Dr
Ste 109
Beachwood, OH 44122
Phone (216) 464-7333

4124 Munson St NW
Canton, OH 44718
Phone (234) 410-7546

7580 Auburn Rd
Ste 301
Concord Township, OH 44077
Phone (440) 352-7546

417 4th St
Defiance, OH 43512
Phone (419) 782-9595

341 Trenton Ave
Findlay, OH 45840
Phone (567) 250-8212

29111 Cedar Rd
Mayfield Hts, OH 44124
Phone (440) 646-1600

6820 Ridge Rd
Ste 204
Parma, OH 44129
Phone (440) 239-7533

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

1070 N Shoop Ave
Wauseon, OH 43567
Phone (419) 330-5200

1090 N Shoop Ave
Wauseon, OH 43567
Phone (419) 330-5200

1100 W Main St
Woodville, OH 43469
Phone (419) 724-5820

Interoperability endpoints

  • Direct secure messaging: m.ilyas@dermmds.emadirect.md

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1659876308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 AUBURN DR.",
            "address_2": "STE. 350",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224327",
            "telephone_number": "440-646-1600",
            "fax_number": "440-646-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6820 RIDGE ROAD",
            "address_2": "SUITE #204",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295647",
            "telephone_number": "440-845-1146",
            "fax_number": "440-845-4023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 4th St",
            "address_purpose": "LOCATION",
            "city": "Defiance",
            "state": "OH",
            "postal_code": "435122605",
            "country_code": "US",
            "telephone_number": "419-785-4660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 S Lafayette St",
            "address_purpose": "LOCATION",
            "city": "South Lyon",
            "state": "MI",
            "postal_code": "481781404",
            "country_code": "US",
            "telephone_number": "947-348-1176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 W Main St",
            "address_purpose": "LOCATION",
            "city": "Woodville",
            "state": "OH",
            "postal_code": "434699723",
            "country_code": "US",
            "telephone_number": "419-724-5820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1090 N Shoop Ave",
            "address_purpose": "LOCATION",
            "city": "Wauseon",
            "state": "OH",
            "postal_code": "435671821",
            "country_code": "US",
            "telephone_number": "419-330-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7301 Secor Rd",
            "address_purpose": "LOCATION",
            "city": "Lambertville",
            "state": "MI",
            "postal_code": "481449737",
            "country_code": "US",
            "telephone_number": "419-479-5795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1070 N Shoop Ave",
            "address_purpose": "LOCATION",
            "city": "Wauseon",
            "state": "OH",
            "postal_code": "435671821",
            "country_code": "US",
            "telephone_number": "419-330-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "341 Trenton Ave",
            "address_purpose": "LOCATION",
            "city": "Findlay",
            "state": "OH",
            "postal_code": "458403745",
            "country_code": "US",
            "telephone_number": "567-250-8212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ILYAS",
        "first_name": "MUNEEB",
        "middle_name": "AKBAR",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0102207757",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34.017077",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0054733",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.