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WESTERN RESERVE DERMATOLOGY, INC
NPI 1689693756
Dermatology in Beachwood, OH

Active since July 19, 2006
24100 CHAGRIN BLVD STE 400, BEACHWOOD, OH 44122(216) 378-1880(216) 378-9130 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 25, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Western Reserve Dermatology, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTERN RESERVE DERMATOLOGY, INC (NPI 1689693756) is a healthcare organization registered as a dermatology in Beachwood, Ohio and active in the NPI registry since July 2006. The organization lists Faith M. Durden, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1689693756
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameWESTERN RESERVE DERMATOLOGY, INC
Location Address24100 CHAGRIN BLVD STE 400Beachwood, OH 44122-5545
Mailing Address24100 Chagrin Blvd Ste 400Beachwood, OH 44122-5545 · (216) 378-1880 · Fax (216) 378-9130
Phone(216) 378-1880
Fax(216) 378-9130
Organization SubpartNo
Authorized OfficialFaith M. DurdenMedical Doctor · (216) 378-1880
Enumeration DateJuly 19, 2006
Last NPPES UpdateApril 25, 20242 updates tracked since enumeration
NPPES CertifiedApril 25, 2024
✔ NPI 1689693756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
24100 CHAGRIN BLVD STE 400, Beachwood, OH 44122
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Western Reserve Dermatology, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOhioEnrollment IDO20050721000307Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Western Reserve Dermatology, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Faith Durden, M.D.
Dermatology
NPI 1972522027
3690 ORANGE PL STE 300
Beachwood, OH 44122
(216) 378-1880
✔ PECOS✔ Accepts Medicare1.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Western Reserve Dermatology, Inc's NPI number?

The NPI number for Western Reserve Dermatology, Inc is 1689693756. It was assigned to this organization in the NPPES registry on July 19, 2006.

Where is Western Reserve Dermatology, Inc located?

Western Reserve Dermatology, Inc is located at 24100 Chagrin Blvd Ste 400, Beachwood, OH 44122. The listed phone number is (216) 378-1880.

What is Western Reserve Dermatology, Inc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Western Reserve Dermatology, Inc enrolled in Medicare?

Yes. Western Reserve Dermatology, Inc is registered in the Medicare PECOS enrollment system.

When is Western Reserve Dermatology, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Ohio, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Western Reserve Dermatology, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Western Reserve Dermatology, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Western Reserve Dermatology, Inc accept?

Health plans from Molina Healthcare list Western Reserve Dermatology, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Western Reserve Dermatology, Inc was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.