Individual provider Active NPI

Laleh A Bedocs, DO

  • Dermatology Physician
  • Sandusky, OH
National Provider Identifier
1952483828
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
34008833 Issued in OH
Practice address
2500 W Strub Rd Ste 330
Sandusky, OH 44870-5390
Phone
(419) 626-6700
Fax
(419) 626-6710
NPI assigned
Oct 20, 2006
Last updated
Feb 25, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 34008833 OH Primary
Pediatrics Physician 208000000X 34008833 OH

Addresses

Primary practice location

2500 W Strub Rd Ste 330
Sandusky, OH 44870-5390

Mailing address

2500 W Strub Rd Ste 330
Sandusky, OH 44870-5390
Phone (419) 626-6700

Other identifiers 1

IdentifierTypeStateIssuer
2689710MedicaidOH

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
I20130306000325 OH Practitioner - Dermatology 4981859410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Ohio University, College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatologists of Southwestern Ohio, LLCGroup PAC ID 7113973041, 116 clinicians

Practice addresses (Care Compare)

36701 American Way
Suite 3
Avon, OH 44011-4064
Phone (440) 937-4951

5300 Far Hills Ave
Dayton, OH 45429-2381
Phone (937) 433-7536

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions318
Removal or shaving of skin growth1-10
Skin biopsy64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34008833OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatologists of Southwestern Ohio, LLC. Dermatology CurrentSince Mar 13, 2020 Accepting new patients

Locations

36701 American Way
Ste 3
Avon, OH 44011
Phone (440) 937-4951

9075 Town Centre Dr
Ste 100
Broadview Heights, OH 44147
Phone (440) 526-4570

5300 Far Hills Ave
Dayton, OH 45429
Phone (513) 433-7536

2500 W Strub Rd
Ste 330
Sandusky, OH 44870
Phone (419) 626-6700

Interoperability endpoints

  • Direct secure messaging: lbedocs@dermswohio.emadirect.md

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1952483828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W STRUB RD STE 330",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705390",
            "telephone_number": "419-626-6700",
            "fax_number": "419-626-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W STRUB RD STE 330",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705390",
            "telephone_number": "419-626-6700",
            "fax_number": "419-626-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDOCS",
        "first_name": "LALEH",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34008833",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34008833",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2689710",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.