Julia V Katsnelson, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036148719 Issued in IL

Practice address

231 Olde Half Day Rd
Lincolnshire, IL 60069-2906

Phone

(847) 303-8900

Fax

(847) 303-8989

NPI assigned

Jun 18, 2015

Last updated

Sep 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

Rush Medical College of Rush University, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Julia Katsnelson MD SC

  • Dermatology Physician
  • Lincolnshire, IL
  • NPI 1346869393
  Medicare reassignment NPD Authorized official
• Affiliates in Diseases & Surgery of the Skin, S.C.

  • Medical Specialty Clinic/Center
  • Oak Park, IL
  • NPI 1558579243
  NPD

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1043692726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 OLDE HALF DAY RD STE B",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600692931",
            "telephone_number": "847-303-8900",
            "fax_number": "847-303-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 OLDE HALF DAY RD",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600692906",
            "telephone_number": "847-303-8900",
            "fax_number": "847-303-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATSNELSON",
        "first_name": "JULIA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036148719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ji-Won Kang
• Monika D Kaniszewska, M.D.
• Jacob M Karbowski, DPT
• Chelsea Karson
• Ninith V Kartha, MD
• Adam Kehoe, M.A. ED., ATC
• Kirsten Kendler
• Katie Khoshaba
• Mary Kiolbasa, OTR/L
• Elizabeth A Kislov, FNP

• Dermatology Physician in Lincolnshire, IL
• Providers in Lincolnshire, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.