Mary Clare Revolinsky Dykin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35062525 Issued in OH

Practice address

29325 Health Campus Dr
Ste 2
Westlake, OH 44145-8201

Phone

(440) 835-6142

Fax

(440) 899-4383

NPI assigned

Oct 19, 2005

Last updated

Jul 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Family Practice

Education

Ohio State University College of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.15 of 100Reported as apm

Quality

82.31

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: maryrevolinsky@uhps.allscriptsdirect.net
• Direct secure messaging: mrevolinsky37619@ehrdirect.uhhospitals.org

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.

• Samg Inc

  • Primary Care Clinic/Center
  • Plymouth Meeting, PA
  • NPI 1760103881
  NPD (past)

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1790774099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26908 DETROIT RD",
            "address_2": "SUITE 301",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452398",
            "telephone_number": "440-617-1823",
            "fax_number": "440-617-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29325 HEALTH CAMPUS DR",
            "address_2": "STE 2",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441458201",
            "telephone_number": "440-835-6142",
            "fax_number": "440-899-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVOLINSKY DYKIN",
        "first_name": "MARY",
        "middle_name": "CLARE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35062525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maryrevolinsky@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "26908 Detroit Rd Ste 201",
            "city": "Westlake",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441452399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cynthia Susan Reichley, LPCC
• Jill Reindel, APRN - CNP
• Donna J Reines, PT
• Renaissance Sleep Solutions LLC
• Renal Care Group Westlake, LLC (Renal Care Group Westlake)
• Rheumatologists LLC
• Richard B Rhiew, M.D.
• Richard Assaf Dermatology, Inc.
• Richard T Norcross DDS Inc
• Dora L Richardson, RN, CNP

• Family Medicine Physician in Westlake, OH
• Providers in Westlake, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.