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Export Provider Record NPI 1053604207
Katherine Camille DisanoM.D.
Active
NPI Number1053604207
NPI TypeNPI-1 Individual
SpecialtyDermatology
Provider Details
NPI1053604207
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2011-05-20
Last Updated2015-12-02
Mailing Address2500 Metrohealth Dr, Department Of Dermatology
Cleveland, OH 44109-1900
United States
Phone: (216) 778-3376
📍 View Map
Primary Practice Address2500 Metrohealth Dr
Cleveland, OH 44109-1900
United States
Phone: (216) 778-5394
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207N00000X – DermatologyTXBP10040625
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About NPI 1053604207

Katherine Camille Disano M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1053604207. The primary specialty listed is Dermatology. The provider is located in Cleveland, OH. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2011-05-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1053604207?

NPI 1053604207 belongs to Katherine Camille Disano M.D., a Dermatology in Cleveland, OH. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1053604207 active?

The current status of NPI 1053604207 in the NPPES registry is Active. The record was last updated on 2015-12-02.

What specialty is NPI 1053604207?

NPI 1053604207 is classified under the taxonomy Dermatology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1053604207?

You can verify NPI 1053604207 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1053604207?

The primary practice address on file for NPI 1053604207 is 2500 Metrohealth Dr, Cleveland, OH 44109-1900. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1053604207 issued?

NPI 1053604207 was first issued (enumerated) on 2011-05-20. The NPPES record was last updated on 2015-12-02.

Practice Location Map

Katherine Camille Disano is located at 2500 Metrohealth Dr, Cleveland, OH. Use the map below to find directions or verify the practice location.

📍 2500 Metrohealth Dr, Cleveland, OH 44109-1900  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Katherine Camille Disano. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1053604207. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
DermatologyBP10040625TX
Data Verified from CMS NPPES Last synced: 2026-06-15 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162