Individual provider Active NPI

Melissa Erin McEnery-Stonelake

  • Dermatology Physician
  • Cleveland, OH
National Provider Identifier
1720490519
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35.133541 Issued in OH
Practice address
9500 Euclid Avenue A60
Cleveland Clinic Dermatology & Plastic Surgery Institut
Cleveland, OH 44195
Phone
(216) 444-5489
NPI assigned
May 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LP03149 RI
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 35.133541 OH Primary

Addresses

Primary practice location

9500 Euclid Avenue A60
Cleveland Clinic Dermatology & Plastic Surgery Institut
Cleveland, OH 44195

Mailing address

Cleveland Clinic Dermatology & Plastic Surg Institute
9500 Euclid Ave A60
Cleveland, OH 44195
Phone (216) 444-5489

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
I20180814004105 OH Practitioner - Dermatology 2567688252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Massachusetts Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision102
Removal of tissue1-10
Removal of skin lesions61
Removal of skin cancer590
Removal of nail tissue1-10
Skin biopsy89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation Single Specialty CurrentSince Jul 1, 2018 Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

26900 Cedar Rd
Cleveland, OH 44122
Phone (216) 839-3000

9500 Euclid Ave
#A60
Cleveland, OH 44195
Phone (216) 444-5415

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1720490519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CLEVELAND CLINIC DERMATOLOGY & PLASTIC SURG INSTITUTE",
            "address_2": "9500 EUCLID AVE A60",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44195",
            "telephone_number": "216-444-5489",
            "fax_number": "216-636-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVENUE A60",
            "address_2": "CLEVELAND CLINIC DERMATOLOGY & PLASTIC SURGERY INSTITUT",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44195",
            "telephone_number": "216-444-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCENERY-STONELAKE",
        "first_name": "MELISSA",
        "middle_name": "ERIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "LP03149",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.133541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.