James Lassiter Quertermous, M.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

036.137877 Issued in IL

Practice address

4885 Hoffman Blvd Ste 407
Hoffman Estates, IL 60192

Phone

(224) 484-0183

Fax

(224) 699-9301

NPI assigned

Jun 14, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

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

Micrographic Dermatologic Surgery (MDS)Also: Dermatology

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Basko Dermatology, LLCGroup PAC ID 2769733310, 9 clinicians

Beaird Dermatology SCGroup PAC ID 6204126238, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jamesq@brodskyderm.emadirect.md
• FHIR API: https://app.meldrx.com/api/fhir/ez_00197

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.

• Basko Dermatology LLC

  • Dermatology Physician
  • Naperville, IL
  • NPI 1245716042
  Medicare reassignment Care Compare group NPD
• Beaird Dermatology S C

  • Dermatology Physician
  • Hoffman Estates, IL
  • NPI 1215383666
  Medicare reassignment Care Compare group
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Crest Hill, IL
  • NPI 1053783308
  Medicare reassignment NPD
• Suleman J. Bangash D.O.S.C.

  • MOHS-Micrographic Surgery Physician
  • Elgin, IL
  • NPI 1841469830
  Medicare reassignment NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Oak Park, IL
  • NPI 1760854020
  NPD
• Joseph a Franco, M.D. S.C.

  • Plastic Surgery Physician
  • Naperville, IL
  • NPI 1013091503
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385
  NPD
• Des Plaines Dermatology, LTD.

  • Dermatology Physician
  • Des Plaines, IL
  • NPI 1902127194
  NPD (past)
• M D Aesthetics and Dermatology LLC

  • Dermatology Physician
  • Chicago, IL
  • NPI 1437678133
  NPD (past)
• Mohs Surgery &Dermatology

  • Specialist
  • Elgin, IL
  • NPI 1356721591
  NPD (past)

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1184919508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3376",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600113376",
            "telephone_number": "224-484-0183",
            "fax_number": "224-699-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 HOFFMAN BLVD STE 407",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "60192",
            "telephone_number": "224-484-0183",
            "fax_number": "224-699-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUERTERMOUS",
        "first_name": "JAMES",
        "middle_name": "LASSITER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-14",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036137877",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IL",
            "license": "036.137877",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IL",
            "license": "036.137877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jquertermous99598@direct.luhs.org",
            "affiliation": "Y",
            "affiliationName": "LOYOLA UNIVERSITY MEDICAL CENTER",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2160 S 1st Ave",
            "city": "Maywood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601533328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dale J Purvis, NHA
• Thomas G Pusateri, DC
• Elizabeth E Puscheck, MD
• PWN Laboratory LLC
• Aqeel U Qazi Mohammed
• Zohaib Qureshi, MD
• R. K. Trivedi, M.D., S.C.
• Maria Rabaca
• Lindsay Rabin, DPT
• Amelia Francis Rader, AU. D.

• MOHS-Micrographic Surgery Physician in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• MOHS-Micrographic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.