Nicole Didonato, P.A.
Individual provider Active NPI Physician Assistant · Beloit, OH
NPI 1760909436 · NPPES record last updated Oct 20, 2025
Key facts
- NPI
- 1760909436
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 50.005204RX (OH)
- Practice address
- 18586 5TH St
Beloit, OH 44609-9799 - Phone
- (330) 938-3333
- Fax
- (330) 938-9487
- NPI assigned
- Aug 24, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Apex Dermatology and Skin Surgery Center, LLC
Practice addresses (Care Compare)
5655 Hudson Dr
Suite 301
Hudson, OH 44236-4454
Phone (330) 653-3376
7580 Auburn Rd
Suite 301
Painesville, OH 44077-9618
Phone (440) 352-7546
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.28 of 100
- Quality
- 78.38
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 79.23
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171114001910 | OH | Practitioner - Physician Assistant | 7214293836 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.005204RX | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gary R Kutsikovich MD and Associates Inc | Past | Accepting new patients | |
| SCH Professional Corporation | Past | Accepting new patients | |
| Marco R. Corallo, D.O., LLC | Past |
Accepting new patients |
Interoperability endpoints
- ndidonato@apexskin.emadirect.md
- https://api.platform.athenahealth.com/2324/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/2325/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.005204RX | OH | Yes |
Addresses
Primary practice location
18586 5TH St
Beloit, OH 44609-9799
Mailing address
2000 Auburn Dr.
Ste. 350
Beachwood, OH 44122-4327
Phone (440) 646-1600
Other practice location 1
6820 Ridge Rd
Parma, OH 44129-5646
Phone (440) 443-0423
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0043925 | Medicaid | OH |
Other providers in Beloit, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.