Individual provider Active NPI

Jonathan A Dalton, M.D.

  • Dermatology Physician
  • Deerfield, IL
National Provider Identifier
1083727747
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036-103726 Issued in IL
Practice address
707 Lake Cook Road
Suite #280
Deerfield, IL 60015-4909
Phone
(847) 480-0004
Fax
(847) 480-8707
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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 036-103726 IL Primary

Addresses

Primary practice location

707 Lake Cook Road
Suite #280
Deerfield, IL 60015-4909

Mailing address

707 Lake Cook Road
Suite #280
Deerfield, IL 60015-4909
Phone (847) 480-0004

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
I20100708000977 IL Practitioner - Dermatology 6002917515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of South Florida College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deerfield Dermatology Associates, LTD.Group PAC ID 6204841760, 15 clinicians

Practice addresses (Care Compare)

707 Lake Cook Rd
Suite 280
Deerfield, IL 60015-5255
Phone (847) 480-0004

Merit-based Incentive Payment System (MIPS)

Final score
91.58 of 100Reported as group
Quality
100
Improvement activities
40
Cost
71.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions2500
Removal or shaving of skin growth1017
Skin biopsy988

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-103726ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deerfield Dermatology Associates, LTD. Dermatology CurrentSince Apr 1, 2001 Accepting new patients

Locations

707 Lake Cook Rd
Ste 280
Deerfield, IL 60015
Phone (847) 480-0004

707 Lake Cook Rd
Ste 2
Deerfield, IL 60015
Phone (847) 564-0055

36100 N Brookside Dr
Ste 100
Gurnee, IL 60031
Phone (847) 244-2500

Organizations & group practices 1

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274140800000",
    "number": "1083727747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 LAKE COOK ROAD",
            "address_2": "SUITE #280",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154909",
            "telephone_number": "847-480-0004",
            "fax_number": "847-480-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 LAKE COOK ROAD",
            "address_2": "SUITE #280",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154909",
            "telephone_number": "847-480-0004",
            "fax_number": "847-480-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "JONATHAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2010-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036-103726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

Verify at the official NPI Registry.