Active NPI
Smita Aggarwal
- Dermatology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 036140469
- Practice address
- 2900 N Lake Shore Dr
Chicago, IL 60657-5640 - Phone
- (773) 665-3000
- NPI assigned
- Sep 26, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 036140469 | IL | Primary |
Addresses
Primary practice location
2900 N Lake Shore Dr
Chicago, IL 60657-5640
Mailing address
512 N McClurg CT
Unit 1906
Chicago, IL 60611-5359
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1725 W Harrison St
Suite 264
Chicago, IL 60612-3844
Phone (312) 942-2195
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 61 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036140469 | IL | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Group | Dermatology | Current | Accepting new patients |
| Medical Dermatology Associates of Chicago, LTD | Dermatology | Current | Accepting new patients |
Locations
2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
2835 N Sheffield Ave
Ste 104
Chicago, IL 60657
Phone (312) 876-4577
363 W Erie St
Ste 350
Chicago, IL 60654
Phone (312) 922-1955
1725 W Harrison St
Ste 264
Chicago, IL 60612
Phone (312) 942-2195
75 Remittance Dr
Dept 1611
Chicago, IL 60675
Organizations & group practices 2
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.
-
- Dermatology Physician
- Chicago, IL
- NPI 1801285929
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1083997142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 N MCCLURG CT",
"address_2": "UNIT 1906",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606115359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 N LAKE SHORE DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575640",
"telephone_number": "773-665-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGGARWAL",
"first_name": "SMITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-26",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IL",
"license": "036140469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.