Diya F Mutasim, M D | |
222 Piedmont Ave, Cincinnati, OH 45219-4231 | |
(513) 475-7630 | |
(513) 475-7636 |
Full Name | Diya F Mutasim |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 45 Years |
Location | 222 Piedmont Ave, Cincinnati, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992759377 | NPI | - | NPPES |
070004743 | Other | OH | RR MEDICARE |
0781882 | Medicaid | OH | |
200038080A | Medicaid | IN | |
64869787 | Medicaid | KY | |
070004743 | Other | OH | MEDICARE RR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 35.059745 (Ohio) | Secondary |
207ND0900X | Dermatology - Dermatopathology | 35.059745 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Cincinnati Medical Center, Llc | Cincinnati, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Cincinnati Physicians Company Llc | 2264344480 | 1336 |
Entity Name | University Of Cincinnati Physicians Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801840434 PECOS PAC ID: 2264344480 Enrollment ID: O20031105000123 |
Entity Name | University Hospitals Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
Mailing Address | Practice Location Address |
---|---|
Diya F Mutasim, M D 222 Piedmont Ave, Cincinnati, OH 45219-4231 Ph: (513) 475-7630 | Diya F Mutasim, M D 222 Piedmont Ave, Cincinnati, OH 45219-4231 Ph: (513) 475-7630 |
Bria Deshea Barjuca, APRN-CNP Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4450 Eastgate Blvd Ste 232, Cincinnati, OH 45245 Phone: 513-770-4212 | |
Lauren Grau, APRN Dermatology Medicare: Not Enrolled in Medicare Practice Location: 331 W 4th St, Cincinnati, OH 45202 Phone: 614-500-7000 | |
Kalyani Shriram Marathe, MD, MPH Dermatology Medicare: Medicare Enrolled Practice Location: 3333 Burnet Ave, Ml 3004, Cincinnati, OH 45229 Phone: 513-636-4215 Fax: 513-636-5867 | |
Debra L Breneman, M. D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3130 Highland Ave, Cincinnati, OH 45219 Phone: 513-584-3686 Fax: 513-475-7636 | |
Katherine Leslie Baquerizo Nole, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3130 Highland Ave, U Cincinnati Medical Center. Department Of Dermatology, Cincinnati, OH 45219 Phone: 513-584-4644 Fax: 513-584-1559 | |
Brett M Coldiron, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3024 Burnet Ave, Cincinnati, OH 45219 Phone: 513-221-2828 Fax: 513-872-5721 | |
Dr. Richard S Moraites, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7717 Montgomery Road, Cincinnati, OH 45236 Phone: 513-793-4021 Fax: 513-793-4078 |