Individual provider Active NPI

Katherine Marie Mercy, MD

  • MOHS-Micrographic Surgery Physician
  • Naperville, IL
National Provider Identifier
1134385255
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
036.127624 Issued in IL
Practice address
1520 Bond St
Naperville, IL 60563-2358
Phone
(630) 357-7536
Fax
(630) 904-0413
NPI assigned
Jul 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 036.127624 IL Primary
Dermatology Physician 207N00000X 036.127624 IL
Dermatology Physician 207N00000X 0101262264 VA
MOHS-Micrographic Surgery Physician 207ND0101X 0101262264 VA

Addresses

Primary practice location

1520 Bond St
Naperville, IL 60563-2358

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

3253 S Harlem Ave Ste 1A
Berwyn, IL 60402-3073
Phone (708) 788-3885

Other practice location 2

2051 Plainfield Rd
Crest Hill, IL 60403-1865
Phone (815) 741-4343

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Katherine.Mercy@forefrontdermatology.emadirect.md
Direct Messaging Address Katherine.Mercy@forefrontdermatology.emadirect.md
Direct Messaging Address Katherine.Mercy@forefrontdermatology.emadirect.md

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220809001724 IL Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 4587954839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)
Education
Georgetown University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

1520 Bond St
Naperville, IL 60563-2358
Phone (630) 357-7536

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision165
Removal of skin lesions56
Removal of skin cancer625
Skin biopsy41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.127624ILMDMOHS-Micrographic Surgery Physician
0101262264VAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology Current Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Jun 6, 2022 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Jun 6, 2022 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

3253 S Harlem Ave
Ste 1A
Berwyn, IL 60402
Phone (708) 788-3885

2051 Plainfield Rd
Crest Hill, IL 60403
Phone (815) 730-9900

1520 Bond St
Naperville, IL 60563
Phone (630) 357-7536

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: katherine.mercy@forefrontdermatology.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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1134385255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 BOND ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632358",
            "telephone_number": "630-357-7536",
            "fax_number": "630-904-0413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3253 S Harlem Ave Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Berwyn",
            "state": "IL",
            "postal_code": "604023073",
            "country_code": "US",
            "telephone_number": "708-788-3885",
            "fax_number": "708-788-6884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2051 Plainfield Rd",
            "address_purpose": "LOCATION",
            "city": "Crest Hill",
            "state": "IL",
            "postal_code": "604031865",
            "country_code": "US",
            "telephone_number": "815-741-4343",
            "fax_number": "815-741-8660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCY",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IL",
            "license": "036.127624",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036.127624",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101262264",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "VA",
            "license": "0101262264",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Katherine.Mercy@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "3253 S Harlem Ave Ste 1A",
            "city": "Berwyn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604023073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Katherine.Mercy@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2051 Plainfield Rd",
            "city": "Crest Hill",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604031865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Katherine.Mercy@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1520 Bond St",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605632358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.