Individual provider Active NPI

Mona Datta Mislankar, M.D.

  • Dermatology Physician
  • Cincinnati, OH
National Provider Identifier
1669714820
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35.131485 Issued in OH
Practice address
4565 E Galbraith Rd Ste a
Cincinnati, OH 45236-1875
Phone
(513) 201-7387
Fax
(508) 252-0995
NPI assigned
Mar 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 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 35.131485 OH Primary

Addresses

Primary practice location

4565 E Galbraith Rd Ste a
Cincinnati, OH 45236-1875

Mailing address

4565 E Galbraith Rd Ste a
Cincinnati, OH 45236-1875
Phone (513) 201-7387

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
I20170718003849 OH Practitioner - Dermatology 2567689524 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4565 E Galbraith Rd
Suite a
Cincinnati, OH 45236-1875
Phone (513) 201-7387

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
Melanoma (skin cancer) excision20
Removal of skin lesions413
Skin biopsy159

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.131485OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cincinnati Skin Center LLC Dermatology CurrentSince Aug 8, 2024 Accepting new patients
Advanced Dermatology of Ohio, Inc Dermatology CurrentSince Sep 1, 2017 Accepting new patients
Mason Dermatology Center Inc Dermatology Past Accepting new patients

Locations

4565 E Galbraith Rd
Ste A
Cincinnati, OH 45236
Phone (513) 201-7387

4834 Socialville Foster Rd
Ste 20
Mason, OH 45040
Phone (513) 459-1988

Organizations & group practices 3

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": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1669714820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4565 E GALBRAITH RD STE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452361875",
            "telephone_number": "513-201-7387",
            "fax_number": "513-930-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4565 E GALBRAITH RD STE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452361875",
            "telephone_number": "513-201-7387",
            "fax_number": "508-252-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISLANKAR",
        "first_name": "MONA",
        "middle_name": "DATTA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.131485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.