Active NPI
Queen City Dermatology
- Dermatology Physician
- Cincinnati, OH
National Provider Identifier
1770476160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- QUEEN CITY DERMATOLOGY
- Practice address
- 8350 E Kemper Rd Ste a
Cincinnati, OH 45249-1684 - Phone
- (513) 202-3883
- NPI assigned
- Jun 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristine Zitelli, MD
- Title
- Owner
- Phone
- (531) 256-1551
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
8350 E Kemper Rd Ste a
Cincinnati, OH 45249-1684
Mailing address
8350 E Kemper Rd Ste a
Cincinnati, OH 45249-1684
Phone (513) 256-1551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2324477 | Queen City Dermatology | Certificate of waiver | May 26, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Cincinnati, OH
- NPI 1275824641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750982400000",
"number": "1770476160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8350 E KEMPER RD STE A",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452491684",
"telephone_number": "513-256-1551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8350 E KEMPER RD STE A",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452491684",
"telephone_number": "513-202-3883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUEEN CITY DERMATOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-02",
"last_updated": "2025-06-27",
"certification_date": "2025-06-27",
"status": "A",
"authorized_official_last_name": "ZITELLI",
"authorized_official_first_name": "KRISTINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "531-256-1551",
"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 Cincinnati, OH
- Queen City Ambulance,LLC
- Queen City Anesthesiologists Inc
- Queen City Compliance Group
- Queen City Counseling Services
- Queen City Dental LLC
- Queen City Developmental Pediatrics LTD
- Queen City Ear Nose and Throat Assoc Inc
- Queen City Ear, Nose & Throat Associates
- Queen City General & Vascular Surgeons Group LTD
- Queen City Gymnastics
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; 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.