Active NPI
Jaime Beth Alexander, M.D.
- Dermatology Physician
- Skokie, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 036150966
- Practice address
- 9933 Woods Dr Ste 200
Skokie, IL 60077-1049 - Phone
- (847) 663-8060
- Fax
- (847) 663-1027
- NPI assigned
- Mar 27, 2014
- 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 | 036150966 | IL | Primary |
Addresses
Primary practice location
9933 Woods Dr Ste 200
Skokie, IL 60077-1049
Mailing address
9933 Woods Dr Ste 200
Skokie, IL 60077-1049
Phone (847) 663-8060
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200321000521 | IL | Practitioner - Dermatology | 4486954831 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 E Golf Rd
Suite L125
Schaumburg, IL 60173-5831
Phone (847) 364-4717
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 509 |
| Skin biopsy | 288 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036150966 | IL | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Dermatology | Current | Accepting new patients |
| Physicians Dermpath Laboratory | Past | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
9933 Woods Dr
Ste 200
Skokie, IL 60077
Phone (847) 663-8060
Interoperability endpoints
- jalexander@illinois.emadirect.md
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Dermatology, IL
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Dermatopathology Physician
- Park Ridge, IL
- NPI 1376866897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592265600000",
"number": "1104243070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9933 WOODS DR STE 200",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600771049",
"telephone_number": "847-663-8060",
"fax_number": "847-663-1027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9933 WOODS DR STE 200",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600771049",
"telephone_number": "847-663-8060",
"fax_number": "847-663-1027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "JAIME",
"middle_name": "BETH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-27",
"last_updated": "2020-06-16",
"certification_date": "2020-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IL",
"license": "036150966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
- Joaguin Magdaraog Aldea
- Alden Estates of Skokie
- Alden Estates of Skokie Inc.
- Alden North Shore Rehabilitation and Health Care Center, Inc.
- Alden-North Shore Rehabilitation and Health Care Center, Inc.
- Jessie Alexander, APN
- Jonathan M Alexander, M.D.
- Kristin Alexander, LCSW
- Alexander'S Medical Supply LLC
- Ethel Suemura Alfaro
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.