NPIMap

Individual provider Active NPI

Rachel Elizabeth Gustin, MD

  • Dermatology Physician
  • Cincinnati, OH
National Provider Identifier
1790733897
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35.098325 Issued in OH
Practice address
4700 E Galbraith Rd
Suite 105
Cincinnati, OH 45236-2754
Phone
(513) 924-8860
Fax
(513) 924-8861
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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 35.098325 OH Primary

Addresses

Primary practice location

4700 E Galbraith Rd
Suite 105
Cincinnati, OH 45236-2754

Mailing address

4700 E Galbraith Rd
Suite 105
Cincinnati, OH 45236-2754
Phone (513) 924-8860

Other identifiers 1

IdentifierTypeStateIssuer
0110530MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140930003114 OH Practitioner - Dermatology 4688679400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Michigan Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Cincinnati Specialty Care LLCGroup PAC ID 3971907759, 343 clinicians

Practice addresses (Care Compare)

8000 5 Mile Rd
Cincinnati, OH 45230-2163
Phone (513) 559-7175

Hospital & facility affiliations

  • Mercy Health - Clermont Hospital Hospital, Batavia, OH, CCN 360236
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163
  • St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035
  • University of Cincinnati Medical Center, LLC Hospital, Cincinnati, OH, CCN 360003

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision24
Removal of skin lesions926
Removal or shaving of skin growth20
Skin biopsy314

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.098325OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC Dermatology CurrentSince Sep 1, 2021 Accepting new patients
University of Cincinnati Physicians Company, LLC PastSince Jul 3, 2008 Accepting new patients

Locations

328 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 331-9700

4700 E Galbraith Rd
Ste 105
Cincinnati, OH 45236
Phone (513) 924-8535

8000 5 Mile Rd
Cincinnati, OH 45230
Phone (513) 559-7175

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

Interoperability endpoints

  • Direct secure messaging: rgustin9793@direct.bsmhealth.org

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 7

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1790733897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 E GALBRAITH RD",
            "address_2": "SUITE 105",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362754",
            "telephone_number": "513-924-8860",
            "fax_number": "513-924-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 E GALBRAITH RD",
            "address_2": "SUITE 105",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362754",
            "telephone_number": "513-924-8860",
            "fax_number": "513-924-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTIN",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.098325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0110530",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.