Individual provider Active NPI

Fuad Kamel Muakkassa, M.D.

  • Dermatology Physician
  • Mayfield Heights, OH
National Provider Identifier
1861836884
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
62133 Issued in AZ
Practice address
29111 Cedar Rd
Mayfield Heights, OH 44124-4005
Phone
(404) 430-4234
Fax
(440) 443-0414
NPI assigned
Apr 21, 2013
Last updated
Sep 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH
Dermatology Physician 207N00000X 62133 AZ Primary

Addresses

Primary practice location

29111 Cedar Rd
Mayfield Heights, OH 44124-4005

Mailing address

29111 Cedar Rd
Mayfield Heights, OH 44124-4005
Phone (404) 430-4234

Other practice location 1

9500 E Ironwood Square Dr Ste 110
Scottsdale, AZ 85258-4582
Phone (480) 948-8400

Other practice location 2

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-2273

Other identifiers 1

IdentifierTypeStateIssuer
62133OtherAZMEDICAL LICENSE

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
I20230921002041 OH Practitioner - Dermatology 8527297894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
78.38
Promoting interoperability
92
Improvement activities
40
Cost
79.23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Dermatology and Skin Surgery Center, LLC Single Specialty CurrentSince Aug 9, 2023 Accepting new patients
Gary R Kutsikovich MD and Associates Inc Single Specialty Past Accepting new patients

Locations

7580 Auburn Rd
Ste 301
Concord Township, OH 44077
Phone (440) 352-7546

29111 Cedar Rd
Mayfield Hts, OH 44124
Phone (440) 646-1600

Interoperability endpoints

  • Direct secure messaging: fmuakkassa@apexskin.emadirect.md
  • Direct secure messaging: fmuakkassa@spectrum.emadirect.md

Organizations & group practices 2

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": "1366502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1861836884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29111 CEDAR RD",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244005",
            "telephone_number": "404-430-4234",
            "fax_number": "440-443-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29111 CEDAR RD",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244005",
            "telephone_number": "404-430-4234",
            "fax_number": "440-443-0414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 E Ironwood Square Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852584582",
            "country_code": "US",
            "telephone_number": "480-948-8400",
            "fax_number": "480-948-8401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11100 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441061716",
            "country_code": "US",
            "telephone_number": "216-844-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUAKKASSA",
        "first_name": "FUAD",
        "middle_name": "KAMEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-21",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "62133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "62133",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Heights, OH

Sources for this page

Verify at the official NPI Registry.