Individual provider Active NPI

Alexandria Z Meccia, MD

  • Dermatology Physician
  • Berwyn, IL
National Provider Identifier
1023054954
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036-090163 Issued in IL
Practice address
3253 S Harlem Ave Ste 1a
Berwyn, IL 60402-3073
Phone
(708) 788-3885
Fax
(708) 788-6884
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 036-090163 IL Primary

Addresses

Primary practice location

3253 S Harlem Ave Ste 1a
Berwyn, IL 60402-3073

Mailing address

7520 Ridgewood LN
Burr Ridge, IL 60527-5159
Phone (708) 482-3213

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Alexandria.Meccia@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031203000212 IL Practitioner - Dermatology 7911810759 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

3253 S Harlem Ave
Suite 1a
Berwyn, IL 60402-3073
Phone (708) 788-3885

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions548
Removal of nail tissue1-10
Removal or shaving of skin growth20
Skin biopsy170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-090163ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology Current Accepting new patients
Renuka H Bhatt MDSC Dermatology CurrentSince Sep 1, 2016 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Dec 6, 2019 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Dec 6, 2019 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

3253 S Harlem Ave
Ste 1A
Berwyn, IL 60402
Phone (708) 788-3885

2051 Plainfield Rd
Crest Hill, IL 60403
Phone (815) 730-9900

2202 Essington Rd
Ste 101
Joliet, IL 60435
Phone (815) 676-5310

10811 W 143rd St
Orland Park, IL 60467
Phone (708) 226-0044

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: alexandria.meccia@forefrontdermatology.emadirect.md

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1023054954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 RIDGEWOOD LN",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275159",
            "telephone_number": "708-482-3213",
            "fax_number": "708-482-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3253 S HARLEM AVE STE 1A",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023073",
            "telephone_number": "708-788-3885",
            "fax_number": "708-788-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECCIA",
        "first_name": "ALEXANDRIA",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036-090163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Alexandria.Meccia@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "3253 S Harlem Ave Ste 1A",
            "city": "Berwyn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604023073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Berwyn, IL

Sources for this page

Verify at the official NPI Registry.