Individual provider Active NPI

Mariam Mohammad Yasin Iqneibi

  • Pediatric Dermatology Physician
  • Cincinnati, OH
National Provider Identifier
1881377612
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Dermatology PhysicianTaxonomy code 207NP0225X
License
57.253116 Issued in OH
Practice address
5280 Beechmont Ave FL Oh452302
Cincinnati, OH 45230-2502
Phone
(513) 492-1605
NPI assigned
Aug 9, 2023
Last updated
Jan 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dermatology Physician 207NP0225X 57.253116 OH Primary
Pediatrics Physician 208000000X 35.151701 OH

Addresses

Primary practice location

5280 Beechmont Ave FL Oh452302
Cincinnati, OH 45230-2502

Mailing address

5280 Beechmont Ave FL Oh452302
Cincinnati, OH 45230-2502
Phone (513) 492-1605

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
I20250602002514 OH Practitioner - Dermatology 3274042205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone (513) 636-4200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.253116OHMDPediatric Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Medical Center Pediatrics CurrentSince Mar 22, 2025 Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

3333 Burnet Ave
#3004
Cincinnati, OH 45229
Phone (513) 636-4215

3333 Burnet Ave
#3024
Cincinnati, OH 45229
Phone (513) 803-8092

3333 Burnet Ave
Ste 3004
Cincinnati, OH 45229

7777 Yankee Rd
#16023
Liberty Township, OH 45044

7777 Yankee Rd
#16062
Liberty Township, OH 45044
Phone (513) 636-3200

9560 Children Dr
Bldg D
Mason, OH 45040

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": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1881377612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5280 BEECHMONT AVE FL OH452302",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452302502",
            "telephone_number": "513-492-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5280 BEECHMONT AVE FL OH452302",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452302502",
            "telephone_number": "513-492-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IQNEIBI",
        "first_name": "MARIAM",
        "middle_name": "MOHAMMAD YASIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "OH",
            "license": "57.253116",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.151701",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.