NPIMap

Individual provider Active NPI

Alissa V Ackelson, MD

  • Infectious Disease Physician
  • Lancaster, OH
National Provider Identifier
1881814796
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
35083382 Issued in OH
Practice address
135 N Ewing St
Suite 303
Lancaster, OH 43130-3382
Phone
(740) 687-8805
Fax
(740) 687-8803
NPI assigned
Apr 26, 2007
Last updated
Sep 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35083382 OH
Infectious Disease Physician 207RI0200X 35083382 OH Primary

Addresses

Primary practice location

135 N Ewing St
Suite 303
Lancaster, OH 43130-3382

Mailing address

1153 E Main St
PO Box 2563
Lancaster, OH 43130-4056
Phone (740) 687-8990

Other identifiers 1

IdentifierTypeStateIssuer
2493823MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040817000001 OH Practitioner - Infectious DiseasePractitioner - Internal Medicine 7810960028 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Ohio State University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2000 Tamarack Rd
FL 2
Newark, OH 43055-1183
Phone (220) 564-2600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35083382OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Dec 26, 2023 Accepting new patients
Community Hospitalist, LLC Internal Medicine CurrentSince Jun 1, 2012 Accepting new patients
Select Specialty Hospital - Zanesville Inc CurrentSince May 13, 2017 Accepting new patients
Central Ohio Primary Care Physicians, Inc. Internal Medicine Past Accepting new patients
Genesis Professional Corp Infectious Disease Past Accepting new patients
Central Ohio Primary Care Physicians, Inc. Past Accepting new patients
Fairfield Medical Center Past Accepting new patients
Select Specialty Hospital - Zanesville Inc PastSince May 13, 2017 Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

2000 Tamarack Rd
Fl 2
Newark, OH 43055
Phone (220) 564-2600

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

Organizations & group practices 8

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1881814796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 E MAIN ST",
            "address_2": "PO BOX 2563",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304056",
            "telephone_number": "740-687-8990",
            "fax_number": "740-687-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N EWING ST",
            "address_2": "SUITE 303",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303382",
            "telephone_number": "740-687-8805",
            "fax_number": "740-687-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKELSON",
        "first_name": "ALISSA",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35083382",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "35083382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2493823",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.