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D. NEAL MASTRUSERIO, M.D., LLC
NPI 1750570453
Dermatology - Procedural Dermatology in Columbus, OH

Active since October 18, 2007CLIA 36D1075882 · Microscopy
3380 TREMONT RD STE 140, COLUMBUS, OH 43221(614) 442-6647(614) 442-6648 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About D. Neal Mastruserio, M.d., Llc NPPES

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

D. NEAL MASTRUSERIO, M.D., LLC (NPI 1750570453) is a healthcare organization registered as a procedural dermatology in Columbus, Ohio and active in the NPI registry since October 2007. The organization holds a CLIA Microscopy certificate valid through April 30, 2028 and lists Dominic Neal Mastruserio, President, as its authorized official.

NPPES Registry Identity

NPI1750570453
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameD. NEAL MASTRUSERIO, M.D., LLC
Location Address3380 TREMONT RD STE 140Columbus, OH 43221-2140
Mailing Address3380 Tremont Rd Ste 140Columbus, OH 43221-2140 · (614) 442-6647 · Fax (614) 442-6648
Phone(614) 442-6647
Fax(614) 442-6648
Organization SubpartNo
Authorized OfficialDominic Neal MastruserioPresident · (614) 442-6647
Enumeration DateOctober 18, 2007
Last NPPES UpdateDecember 17, 2021
NPPES CertifiedDecember 17, 2021
✔ NPI 1750570453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License✔ Licensed in OH · 35072392M
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
3380 TREMONT RD STE 140, Columbus, OH 43221
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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 Anthem Blue Cross and Blue Shield.Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 36D1075882

D Neal Mastruserio MD LLC · Columbus, OH
Active · expires Apr 30, 2028
CLIA Number36D1075882
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorDominic N. Mastruserio
Laboratory Phone(614) 442-6647
Laboratory LocationD Neal Mastruserio MD LLC3380 Tremont Rd Ste 140, Columbus, OH 43221
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANNAH AMMON
Dermatology (Procedural Dermatology)
3380 TREMONT RD STE 140
COLUMBUS, OH 43221
Franklin County (614) 442-6647

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 D. Neal Mastruserio, M.D., LLC's NPI number?

The NPI number for D. Neal Mastruserio, M.D., LLC is 1750570453. It was assigned to this organization in the NPPES registry on October 18, 2007.

Where is D. Neal Mastruserio, M.D., LLC located?

D. Neal Mastruserio, M.D., LLC is located at 3380 Tremont Rd Ste 140, Columbus, OH 43221. The listed phone number is (614) 442-6647.

What is D. Neal Mastruserio, M.D., LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Does D. Neal Mastruserio, M.D., LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D1075882) is associated with this NPI, valid through April 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does D. Neal Mastruserio, M.D., LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list D. Neal Mastruserio, M.D., LLC 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 D. Neal Mastruserio, M.D., LLC was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.