Individual provider Active NPI

Blake M Troiani, MD

  • Dermatology Physician
  • Joliet, IL
National Provider Identifier
1194010157
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036138129 Issued in IL
Practice address
1124 Essington Rd
Joliet, IL 60435-8423
Phone
(815) 744-8554
NPI assigned
Jun 17, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 036138129 IL Primary

Addresses

Primary practice location

1124 Essington Rd
Joliet, IL 60435-8423

Mailing address

1124 Essington Rd
Provider Enrollment
Joliet, IL 60435-8423
Phone (815) 744-8554

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
I20150724010553 IL Practitioner - Dermatology 8921311523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Georgia School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians

Practice addresses (Care Compare)

1124 Essington Rd
Suite a
Joliet, IL 60435-8442
Phone (815) 744-8554

Hospital & facility affiliations

  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision75
Removal of skin lesions2473
Removal or shaving of skin growth863
Skin biopsy590

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036138129ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Dermatology, SC Dermatology CurrentSince Jan 31, 2017 Accepting new patients

Locations

738 W Northwest Hwy
Barrington, IL 60010
Phone (847) 382-5111

580 E Boughton Rd
Ste A
Bolingbrook, IL 60440
Phone (630) 972-2600

595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944

20646 Abbey Woods Ct N
Ste 104
Frankfort, IL 60423
Phone (815) 373-1001

1124 Essington Rd
Joliet, IL 60435
Phone (815) 373-1004

1124 Essington Rd
Ste A
Joliet, IL 60435

820 Springer Dr
Lombard, IL 60148
Phone (708) 634-4602

Interoperability endpoints

  • Direct secure messaging: blake.troiani@qdp.emadirect.md
  • Direct secure messaging: btroiani@directaddress.net

Organizations & group practices 1

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": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1194010157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 ESSINGTON RD",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358423",
            "telephone_number": "815-744-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358423",
            "telephone_number": "815-744-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROIANI",
        "first_name": "BLAKE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-17",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036138129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.