Individual provider Active NPI

Stephanie Blackburn Sayles, D.O.

  • Dermatology Physician
  • Mason, OH
National Provider Identifier
1730522434
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
34.013027 Issued in OH
Practice address
5298 Socialville Foster Rd
Mason, OH 45040-9302
Phone
(513) 770-4212
Fax
(513) 770-4213
NPI assigned
Apr 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 04308 KY
Dermatology Physician 207N00000X 34.013027 OH Primary

Addresses

Primary practice location

5298 Socialville Foster Rd
Mason, OH 45040-9302

Mailing address

5298 Socialville Foster Rd
Mason, OH 45040-9302
Phone (513) 770-4212

Other identifiers 2

IdentifierTypeStateIssuer
7100481780MedicaidKY
0242493MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sblackburn78686@direct.thechristhospital.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170926004372 OH Practitioner - Dermatology 1456658863 Reassigns benefits to 2 organizations
I20181019001174 KY Practitioner - Dermatology 1456658863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Ohio University, College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Dermatology Group IncGroup PAC ID 6406740141, 19 clinicians

Practice addresses (Care Compare)

330 Thomas More Pkwy
Crestview Hills, KY 41017-3417
Phone (513) 770-4212

4450 Eastgate Blvd
Suite 232
Cincinnati, OH 45245-1788
Phone (513) 770-4212

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.21 of 100Reported as group
Quality
88
Promoting interoperability
100
Improvement activities
40
Cost
79.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision47
Removal of skin lesions1068
Removal or shaving of skin growth32
Skin biopsy483

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04308KYMDDermatology Physician
34.013027OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Dermatology Group, Inc Dermatology CurrentSince Jan 20, 1985 Accepting new patients
Dermatologists of Southwestern Ohio, LLC. Dermatology Past Accepting new patients

Locations

330 Thomas More Pkwy
Ste 201
Crestview Hills, KY 41017
Phone (853) 934-4621

330 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (513) 241-2360

9403 Kenwood Rd
Ste B100
Blue Ash, OH 45242
Phone (513) 891-8045

4450 Eastgate Blvd
Ste 232
Cincinnati, OH 45245
Phone (513) 752-2247

4000 Smith Rd
Ste 210
Cincinnati, OH 45209

5298 Socialville Foster Rd
Mason, OH 45040
Phone (513) 770-0953

Interoperability endpoints

  • Direct secure messaging: ssayles@cinciderm.emadirect.md
  • FHIR API: https://api.platform.athenahealth.com/5662/brand/1/csg/1/fhir/r4

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.

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": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1730522434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5298 SOCIALVILLE FOSTER RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450409302",
            "telephone_number": "513-770-4212",
            "fax_number": "513-770-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5298 SOCIALVILLE FOSTER RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450409302",
            "telephone_number": "513-770-4212",
            "fax_number": "513-770-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYLES",
        "first_name": "STEPHANIE",
        "middle_name": "BLACKBURN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "04308",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34.013027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100481780",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0242493",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sblackburn78686@direct.thechristhospital.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2123 Auburn Ave Ste 210",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452192906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.