Henry David Nichamin, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036078464 Issued in IL

Practice address

705 East Golf Road
Schaumburg, IL 60173-4511

Phone

(847) 843-0200

Fax

(847) 843-0281

NPI assigned

Jul 14, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

DermatologyAlso: Interventional Pain Management, Preventive Medicine

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Clear Complexions LTD.

  dba Clear Complexions Rx, Ltd.

  • Dermatology Physician
  • Schaumburg, IL
  • NPI 1306992128
  Medicare reassignment NPD

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1114943065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 EAST GOLF ROAD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734511",
            "telephone_number": "847-843-0200",
            "fax_number": "847-843-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 EAST GOLF ROAD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734511",
            "telephone_number": "847-843-0200",
            "fax_number": "847-843-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHAMIN",
        "first_name": "HENRY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036078464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10640725",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BETTER HEALTH",
            "identifier": "QXIPQ0000184553",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Ngu, D.O.
• Anya Grace Nguyen, LMFT
• Marty Nguyen, PHARMD
• Thanh Lan Nguyen, BCBA
• Azima Niazi
• Keri Lynn Nicholson, LPT
• David Nierenberg, ATC
• Daniel Nierzwicki, DPT
• Helaneh Nighoghosian, PA-C
• Antonia Nikolova, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.