Individual provider Active NPI

Raj Patel, MD

  • Dermatology Physician
  • Akron, OH
National Provider Identifier
1790148211
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35.139826 Issued in OH
Practice address
566 White Pond Dr Ste E
Akron, OH 44320-1116
Phone
(330) 535-7100
NPI assigned
Apr 1, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 35.139826 OH Primary

Addresses

Primary practice location

566 White Pond Dr Ste E
Akron, OH 44320-1116

Mailing address

566 White Pond Dr Ste E
Akron, OH 44320-1116
Phone (330) 535-7100

Other practice location 1

55 Arch St Ste 1B
Akron, OH 44304-1436
Phone (330) 375-3315

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
I20200701002028 OH Practitioner - Dermatology 6709171119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Akron Dermatology IncGroup PAC ID 5597735209, 4 clinicians

Practice addresses (Care Compare)

566 White Pond Dr
Suite E
Akron, OH 44320-1116
Phone (330) 535-7100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.58 of 100Reported as group
Quality
95.61
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions649
Removal or shaving of skin growth1-10
Skin biopsy232

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.139826OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Akron Dermatology, Inc. Dermatology CurrentSince Sep 1, 2020 Accepting new patients

Locations

566 White Pond Dr
Ste E
Akron, OH 44320
Phone (330) 535-2600

157 W Cedar St
Ste 101
Akron, OH 44307
Phone (330) 535-7100

Interoperability endpoints

  • Direct secure messaging: raj@akronderm.emadirect.md

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 3

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": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1790148211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 WHITE POND DR STE E",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201116",
            "telephone_number": "330-535-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 WHITE POND DR STE E",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201116",
            "telephone_number": "330-535-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Arch St Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443041436",
            "country_code": "US",
            "telephone_number": "330-375-3315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAJ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-01",
        "last_updated": "2020-09-23",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.139826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.