Individual provider Active NPI

Harry M Goldin, M.D.

  • Specialist
  • Skokie, IL
National Provider Identifier
1184619785
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
336027611 Issued in IL
Practice address
4709 Golf Rd
1000
Skokie, IL 60076-1231
Phone
(847) 677-2080
Fax
(847) 677-2098
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 336027611 IL Primary

Addresses

Primary practice location

4709 Golf Rd
1000
Skokie, IL 60076-1231

Mailing address

4709 Golf Rd
1000
Skokie, IL 60076-1231
Phone (847) 677-2080

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
I20060724000031 IL Practitioner - Dermatology 8022021856 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Skokie, IL

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Kentucky College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of Lagrange SCGroup PAC ID 7113830951, 19 clinicians

Practice addresses (Care Compare)

4709 Golf Rd
Suite 600
Skokie, IL 60076-1253
Phone (847) 677-2080

Hospital & facility affiliations

  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

Merit-based Incentive Payment System (MIPS)

Final score
83.78 of 100Reported as group
Quality
87.26
Promoting interoperability
100
Improvement activities
40
Cost
58.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17
Removal of tissue1-10
Removal of skin lesions607
Removal of nail tissue1-10
Removal or shaving of skin growth24
Skin biopsy112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
336027611ILMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Lagrange SC CurrentSince Jul 1, 2019 Accepting new patients
Goldin Dermatology LLC Specialist PastSince Jan 1, 1990 Accepting new patients

Locations

5201 Willow Springs Rd
Ste 430
La Grange Highlands, IL 60525
Phone (708) 482-3213

4709 Golf Rd
Skokie, IL 60076
Phone (312) 687-9886

4709 Golf Rd
Ste 600
Skokie, IL 60076
Phone (708) 482-3213

4709 Golf Rd
Ste 1000
Skokie, IL 60076
Phone (847) 677-1170

Interoperability endpoints

  • Direct secure messaging: hgoldin@directaddress.net

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Hospital & facility affiliations 1

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1184619785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 GOLF RD",
            "address_2": "1000",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761231",
            "telephone_number": "847-677-2080",
            "fax_number": "847-677-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 GOLF RD",
            "address_2": "1000",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761231",
            "telephone_number": "847-677-2080",
            "fax_number": "847-677-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDIN",
        "first_name": "HARRY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "336027611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.