Organization Active NPI

Rixis Dermatology LLC

  • Dermatology Physician
  • Columbus, OH
National Provider Identifier
1710741541
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
RIXIS DERMATOLOGY LLC
Practice address
4300 Clime Rd Ste 100
Columbus, OH 43228-6491
Phone
(614) 887-7723
Fax
(614) 639-8003
NPI assigned
Feb 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Stephanie Fabbro, MDNPI 1164798500
Title
Owner
Phone
(614) 887-7723

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

4300 Clime Rd Ste 100
Columbus, OH 43228-6491

Mailing address

4300 Clime Rd Ste 100
Columbus, OH 43228-6491
Phone (614) 887-7723

Other practice location 1

425 Metro Pl N Ste 195
Dublin, OH 43017-5361
Phone (614) 887-7723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240903001146 OH Part B Supplier - Clinic/Group Practice 2860931961 Receives reassigned benefits from 2 practitioners
Practice locations: Dublin, OH; Columbus, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2308107Rixis Dermatology LLC4300 Clime Rd, Suite 100, Columbus, OH 43228Certificate of waiverJul 21, 2028

National Provider Directory

National Provider Directory

Locations

425 Metro Pl N
Ste 195
Dublin, OH 43017
Phone (614) 602-6455

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00343

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1710741541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 CLIME RD STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432286491",
            "telephone_number": "614-887-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 CLIME RD STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432286491",
            "telephone_number": "614-887-7723",
            "fax_number": "614-639-8003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Metro Pl N Ste 195",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430175361",
            "country_code": "US",
            "telephone_number": "614-887-7723",
            "fax_number": "614-639-8003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIXIS DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "FABBRO",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-887-7723",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.