Individual provider Active NPI

Kenneth Lee Arsham, M.D.

  • Plastic Surgery Physician
  • Beachwood, OH
National Provider Identifier
1841222411
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
35-049328 Issued in OH
Practice address
23250 Chagrin Blvd
Suite #450
Beachwood, OH 44122-5470
Phone
(216) 831-1929
Fax
(216) 831-1642
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 35-049328 OH Primary

Addresses

Primary practice location

23250 Chagrin Blvd
Suite #450
Beachwood, OH 44122-5470

Mailing address

23250 Chagrin Blvd
Suite #450
Beachwood, OH 44122-5470
Phone (216) 831-1929

Other identifiers 1

IdentifierTypeStateIssuer
0588118MedicaidOH

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
I20050623000117 OH Practitioner - Plastic and Reconstructive Surgery 6608811310 Reassigns benefits to 1 organization
Practice locations: Warrensville Heights, OH

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Georgetown University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Care Consultants LLCGroup PAC ID 2567646359, 29 clinicians

Practice addresses (Care Compare)

4200 Warrensville Ctr Rd
Suite 344
Warrensville Heights, OH 44122-7000
Phone (216) 491-7318

6789 Ridge Rd
Suite 305
Parma, OH 44129-5635
Phone (440) 491-8334

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue612
Removal of skin lesions91
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-049328OHMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care Consultants LLC CurrentSince Apr 15, 2019 Accepting new patients

Locations

23250 Chagrin Blvd
Ste 450
Beachwood, OH 44122
Phone (216) 402-0027

6789 Ridge Rd
Ste 305
Parma, OH 44129
Phone (440) 491-8334

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.

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841222411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23250 CHAGRIN BLVD",
            "address_2": "SUITE #450",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225470",
            "telephone_number": "216-831-1929",
            "fax_number": "216-831-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23250 CHAGRIN BLVD",
            "address_2": "SUITE #450",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225470",
            "telephone_number": "216-831-1929",
            "fax_number": "216-831-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARSHAM",
        "first_name": "KENNETH",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "35-049328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0588118",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.