Individual provider Active NPI

Jennifer Dawn Bahner, M.D.

  • Dermatology Physician
  • Mayfield Heights, OH
National Provider Identifier
1952519043
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35.123019 Issued in OH
Practice address
29111 Cedar Rd
Mayfield Heights, OH 44124-4005
Phone
(440) 646-1600
Fax
(440) 646-1505
NPI assigned
May 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 57-012117 OH
Dermatology Physician 207N00000X 35.123019 OH Primary
Internal Medicine Physician 207R00000X 57.012117 OH
Procedural Dermatology Physician 207NS0135X 57-012117 OH

Addresses

Primary practice location

29111 Cedar Rd
Mayfield Heights, OH 44124-4005

Mailing address

2000 Auburn Dr
Ste 350
Beachwood, OH 44122-4327
Phone (440) 646-1600

Other identifiers 1

IdentifierTypeStateIssuer
0104633MedicaidOH

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
I20140715001492 OH Practitioner - Dermatology 2062637697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Dermatology and Skin Surgery Center, LLCGroup PAC ID 1052589777, 52 clinicians

Practice addresses (Care Compare)

29111 Cedar Rd
Mayfield Heights, OH 44124-4005
Phone (440) 646-1600

5655 Hudson Dr
Suite 301
Hudson, OH 44236-4454
Phone (330) 653-3376

7580 Auburn Rd
Suite 301
Painesville, OH 44077-9618
Phone (440) 352-7546

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision83
Removal of skin lesions77
Removal of skin cancer877
Removal or shaving of skin growth16
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
57-012117OHMDDermatology Physician
57.012117OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Dermatology and Skin Surgery Center, LLC Dermatology CurrentSince Aug 9, 2023 Accepting new patients
SCH Professional Corporation Internal Medicine PastSince Nov 24, 2025 Accepting new patients
Gary R Kutsikovich MD and Associates Inc 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: jbahner@apexskin.emadirect.md

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": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1952519043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 AUBURN DR",
            "address_2": "STE 350",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224327",
            "telephone_number": "440-646-1600",
            "fax_number": "440-646-1500"
        },
        {
            "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": "440-646-1600",
            "fax_number": "440-646-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHNER",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-20",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "57-012117",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.123019",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.012117",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "OH",
            "license": "57-012117",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0104633",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Heights, OH

Sources for this page

Verify at the official NPI Registry.