Active NPI
Harry M Goldin, M.D.
- Specialist
- Skokie, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 336027611
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.78 of 100
- Quality
- 87.26
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 58.68
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 17 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 607 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 24 |
| Skin biopsy | 112 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336027611 | IL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Associates of Lagrange SC | Current | Accepting new patients | |
| Goldin Dermatology LLC | Specialist | Past | 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
- 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.
-
- Physician Assistant
- Skokie, IL
- NPI 1932642238
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
- La Grange Highlands, IL
- NPI 1780795856
-
- Specialist
- Skokie, IL
- NPI 1487063335
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.