NORTHCOAST DERMATOLOGY ASSOCIATES, INC.
NPI 1750347480
Dermatology in Independence, OH
About Northcoast Dermatology Associates, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHCOAST DERMATOLOGY ASSOCIATES, INC. (NPI 1750347480), doing business as Northcoast Dermatology, is a healthcare organization registered as a dermatology in Independence, Ohio and active in the NPI registry since April 2006. The organization holds a CLIA Certificate of Compliance certificate valid through June 16, 2027 and lists Rachel Mistur, Dermatologist / Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Northcoast Dermatology Associates, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Northcoast Dermatology Associates, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 36D0689722
North Coast Dermatology Associates, Inc · Independence, OHFrequently 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 Northcoast Dermatology Associates, Inc.'s NPI number?
The NPI number for Northcoast Dermatology Associates, Inc. is 1750347480. It was assigned to this organization in the NPPES registry on April 21, 2006. The provider is doing business as Northcoast Dermatology.
Where is Northcoast Dermatology Associates, Inc. located?
Northcoast Dermatology Associates, Inc. is located at 4807 Rockside Rd Ste 100, Independence, OH 44131. The listed phone number is (216) 524-4009.
What is Northcoast Dermatology Associates, Inc.'s specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Northcoast Dermatology Associates, Inc. enrolled in Medicare?
Yes. Northcoast Dermatology Associates, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northcoast Dermatology Associates, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Northcoast Dermatology Associates, 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. The largest specialties are Dermatology (4) and Nurse Practitioner (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Northcoast Dermatology Associates, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 36D0689722) is associated with this NPI, valid through June 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Northcoast Dermatology Associates, Inc. accept?
Health plans from Anthem Blue Cross and Blue Shield list Northcoast Dermatology Associates, 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 Northcoast Dermatology Associates, Inc. was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Northcoast Dermatology Associates, Inc. · NPI 1750347480
Dermatology organization in Independence, Ohio. Organization record, active in the CMS NPPES registry since April 21, 2006.
## Identity
- **NPI:** 1750347480 (Entity type: Organization)
- **Enumerated:** April 21, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Also known as:** Northcoast Dermatology (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Rachel Mistur, DERMATOLOGIST / OWNER
## Practice location
- **Address:** 4807 ROCKSIDE RD STE 100, Independence, OH 44131-2188
- **Phone:** (216) 524-4009 · **Fax:** (216) 524-7933
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (4), Nurse Practitioner (1); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 12, 2026
- **Other identifiers:** Medicaid 0289727 (OH); Other CD6030 (OH); Medicaid 0271423 (OH); and 1 more
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1750347480) · Data from the CMS NPPES public registry.