Individual provider Active NPI

Richard R Assaf, MD

  • Dermatology Physician
  • Westlake, OH
National Provider Identifier
1669421392
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35064785 Issued in OH
Practice address
2001 Crocker Rd
Suite 150
Westlake, OH 44145-6966
Phone
(440) 871-0410
Fax
(440) 235-8440
NPI assigned
May 9, 2006
Last updated
Jun 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dermatology Physician 207NP0225X 35064785 OH
Procedural Dermatology Physician 207NS0135X 35064785 OH
Dermatology Physician 207N00000X 35064785 OH Primary

Addresses

Primary practice location

2001 Crocker Rd
Suite 150
Westlake, OH 44145-6966

Mailing address

2001 Crocker Rd
Suite 150
Westlake, OH 44145-6966
Phone (440) 871-0410

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rassaf@theparkerclinic.emadirect.md Direct

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
I20090826000532 OH Practitioner - Dermatology 0547315616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parker Skin and Aesthetic Clinic IncGroup PAC ID 4587614813, 10 clinicians

Practice addresses (Care Compare)

2001 Crocker Rd
Suite 150
Westlake, OH 44145-6973
Phone (440) 871-0410

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions524
Removal or shaving of skin growth1-10
Skin biopsy124

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35064785OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parker Skin & Aesthetic Clinic Inc. Dermatology CurrentSince Nov 1, 2019 Accepting new patients
The Metrohealth System Current Accepting new patients
Mulligan Dermatology, Inc Dermatology Past Accepting new patients

Locations

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

2001 Crocker Rd
Ste 150
Westlake, OH 44145
Phone (440) 235-8484

Interoperability endpoints

  • Direct secure messaging: rassaf@theparkerclinic.emadirect.md
  • Direct secure messaging: rassaf113954@direct.metrohealth.org

Organizations & group practices 4

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1669421392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 CROCKER RD",
            "address_2": "SUITE 150",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456966",
            "telephone_number": "440-871-0410",
            "fax_number": "440-235-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 CROCKER RD",
            "address_2": "SUITE 150",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456966",
            "telephone_number": "440-871-0410",
            "fax_number": "440-235-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSAF",
        "first_name": "RICHARD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "OH",
            "license": "35064785",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "OH",
            "license": "35064785",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35064785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rassaf@theparkerclinic.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "EMA Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2001 Crocker Rd",
            "address_2": "Suite 150",
            "city": "Westlake",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441456966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.