Individual provider Active NPI

Dvora Y Nelson, M.D.

  • Surgery Physician
  • North Olmsted, OH
National Provider Identifier
1821098187
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35-07-6369-N Issued in OH
Practice address
30915 Lorain Rd
Suite 100
North Olmsted, OH 44070-4722
Phone
(440) 617-6061
Fax
(440) 617-6065
NPI assigned
Jul 28, 2005
Last updated
Nov 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35-07-6369-N OH Primary

Addresses

Primary practice location

30915 Lorain Rd
Suite 100
North Olmsted, OH 44070-4722

Mailing address

30915 Lorain Rd
Suite 100
North Olmsted, OH 44070-4722
Phone (440) 617-6061

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
I20070126000092 OH Practitioner - General Surgery 8527069020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of California, San Francisco School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30915 Lorain Rd
North Olmsted, OH 44070-4783
Phone (440) 617-6061

Merit-based Incentive Payment System (MIPS)

Final score
99.56 of 100Reported as individual
Quality
99.2
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal316

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nelson Vein and Surgical Services LLC Surgery CurrentSince May 1, 2010 Accepting new patients

Locations

30915 Lorain Rd
North Olmsted, OH 44070
Phone (440) 471-4970

30915 Lorain Rd
Ste 100
North Olmsted, OH 44070
Phone (440) 617-6061

Interoperability endpoints

  • Direct secure messaging: dnelson37439@ehrdirect.uhhospitals.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/HHDABA/Endpoint/HHDABA

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, 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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1821098187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30915 LORAIN RD",
            "address_2": "SUITE 100",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440704722",
            "telephone_number": "440-617-6061",
            "fax_number": "440-617-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30915 LORAIN RD",
            "address_2": "SUITE 100",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440704722",
            "telephone_number": "440-617-6061",
            "fax_number": "440-617-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DVORA",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35-07-6369-N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Olmsted, OH

Sources for this page

Verify at the official NPI Registry.