Individual provider Active NPI

Danielle Petit, M.D.

  • Dermatology Physician
  • Liberty Township, OH
National Provider Identifier
1841532348
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35.129956 Issued in OH
Practice address
6770 Cincinnati Dayton Rd Ste 200
Liberty Township, OH 45044-9319
Phone
(513) 579-9191
Fax
(513) 579-0350
NPI assigned
Mar 22, 2013
Last updated
Nov 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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 35.129956 OH Primary

Addresses

Primary practice location

6770 Cincinnati Dayton Rd Ste 200
Liberty Township, OH 45044-9319

Mailing address

6770 Cincinnati Dayton Rd Ste 200
Liberty Township, OH 45044-9319
Phone (513) 276-4981

Other identifiers 1

IdentifierTypeStateIssuer
0226310MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dpetit76589@direct.thechristhospital.com Direct

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
I20170815004590 OH Practitioner - Dermatology 3971738295 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Northeastern Ohio University College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Petit Dermatology LLCGroup PAC ID 7618401308, 2 clinicians

Practice addresses (Care Compare)

6770 Cincinnati Dayton Rd
Liberty Township, OH 45044-9319
Phone (513) 276-4981

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.21 of 100Reported as group
Quality
88
Promoting interoperability
100
Improvement activities
40
Cost
79.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision16
Removal of skin lesions960
Removal or shaving of skin growth149
Skin biopsy27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Hospital Medical Specialists LLC CurrentSince Aug 14, 2017 Accepting new patients
Petit Dermatology LLC Dermatology CurrentSince Oct 1, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2123 Auburn Ave
Ste 122
Cincinnati, OH 45219
Phone (513) 381-1400

237 William Howard Taft Rd
#002
Cincinnati, OH 45219
Phone (513) 263-8571

6770 Cincinnati Dayton Rd
Ste 200
Liberty Township, OH 45044
Phone (513) 276-4981

11140 Montgomery Rd
Montgomery, OH 45249
Phone (513) 564-8580

Interoperability endpoints

  • Direct secure messaging: danielle.petit.1@31930.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1841532348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 CINCINNATI DAYTON RD STE 200",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450449319",
            "telephone_number": "513-276-4981",
            "fax_number": "513-547-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 CINCINNATI DAYTON RD STE 200",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450449319",
            "telephone_number": "513-579-9191",
            "fax_number": "513-579-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETIT",
        "first_name": "DANIELLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.129956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0226310",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpetit76589@direct.thechristhospital.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4460 Red Bank Rd",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452272172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Liberty Township, OH

Sources for this page

Verify at the official NPI Registry.