Individual provider Active NPI

Dena M Elkeeb, MD

  • Dermatology Physician
  • West Chester, OH
National Provider Identifier
1780613422
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35.083909 Issued in OH
Practice address
7249 Liberty Way Ste 100
West Chester, OH 45069-1518
Phone
(513) 770-3263
NPI assigned
Jul 3, 2006
Last updated
Jan 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 35.083909 OH
Dermatology Physician 207N00000X 35.083909 OH Primary

Addresses

Primary practice location

7249 Liberty Way Ste 100
West Chester, OH 45069-1518

Mailing address

7249 Liberty Way Ste 100
West Chester, OH 45069-1518
Phone (513) 770-3263

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
I20050705000416 OH Practitioner - Dermatology 8426094137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology and Skin Care AssociatesGroup PAC ID 0244365260, 8 clinicians

Practice addresses (Care Compare)

7249 Liberty Way
Suite 100
West Chester, OH 45069-1518
Phone (513) 770-3263

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions154
Removal or shaving of skin growth38
Skin biopsy77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.083909OHMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology & Skin Care Associates Dermatology CurrentSince Oct 18, 2022 Accepting new patients
Cincinnati Dermatology Institute LLC Current Accepting new patients

Locations

7249 Liberty Way
West Chester, OH 45069
Phone (513) 424-1440

7249 Liberty Way
Ste 100
West Chester, OH 45069
Phone (513) 770-3263

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1780613422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7249 LIBERTY WAY STE 100",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450691518",
            "telephone_number": "513-770-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7249 LIBERTY WAY STE 100",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450691518",
            "telephone_number": "513-770-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKEEB",
        "first_name": "DENA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "OH",
            "license": "35.083909",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.083909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.