Individual provider Active NPI

Marya L Cassandra, DO

  • Dermatology Physician
  • Hilliard, OH
National Provider Identifier
1912979386
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
34.009168 Issued in OH
Practice address
3853 Trueman CT
Hilliard, OH 43026-2496
Phone
(614) 777-1200
Fax
(614) 777-1294
NPI assigned
Feb 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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 34.009168 OH Primary

Addresses

Primary practice location

3853 Trueman CT
Hilliard, OH 43026-2496

Mailing address

1047 Perry St
Columbus, OH 43201-3379
Phone (614) 777-1200

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
I20090616000783 OH Practitioner - Dermatology 4183657380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Ohio University, College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Signature Dermatology LLCGroup PAC ID 7214086115, 8 clinicians

Practice addresses (Care Compare)

3853 Trueman CT
Hilliard, OH 43026-2496
Phone (614) 777-1200

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions820
Removal or shaving of skin growth44
Skin biopsy221

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Worst Day Ever Past Accepting new patients
Bay Dermatology and Cosmetic Surgery P a Dermatology PastSince Jun 1, 2008 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: marya.cassandra.1@19221.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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1912979386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 PERRY ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432013379",
            "telephone_number": "614-777-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3853 TRUEMAN CT",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430262496",
            "telephone_number": "614-777-1200",
            "fax_number": "614-777-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSANDRA",
        "first_name": "MARYA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34.009168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

Verify at the official NPI Registry.