Individual provider Active NPI

Alex Glazer, M.D.

  • Dermatology Physician
  • Buffalo Grove, IL
National Provider Identifier
1215324447
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036.150795 Issued in IL
Practice address
600 W Lake Cook Rd Ste 110
Buffalo Grove, IL 60089-2085
Phone
(847) 459-6611
NPI assigned
Apr 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 036.150795 IL
Pediatric Dermatology Physician 207NP0225X 036.150795 IL
Procedural Dermatology Physician 207NS0135X 036.150795 IL
Dermatology Physician 207N00000X 036.150795 IL Primary

Addresses

Primary practice location

600 W Lake Cook Rd Ste 110
Buffalo Grove, IL 60089-2085

Mailing address

600 W Lake Cook Rd Ste 110
Buffalo Grove, IL 60089-2085
Phone (847) 459-6611

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
I20200423001560 IL Practitioner - Dermatology 4880997162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Rush Medical College of Rush University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott D Glazer MD SCGroup PAC ID 5890711642, 6 clinicians

Practice addresses (Care Compare)

600 W Lake Cook Rd
Suite 110
Buffalo Grove, IL 60089-2085
Phone (847) 459-6611

Hospital & facility affiliations

  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252

Merit-based Incentive Payment System (MIPS)

Final score
91.54 of 100Reported as group
Quality
71.81
Promoting interoperability
100
Improvement activities
40
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision62
Removal of tissue1-10
Removal of skin lesions1271
Removal of nail tissue1-10
Removal or shaving of skin growth12
Skin biopsy1201

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.150795ILMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott D. Glazer, M.D., S.C. Dermatology CurrentSince Feb 1, 2020 Accepting new patients

Locations

1430 N Arlington Heights Rd
Ste 213
Arlington Heights, IL 60004
Phone (847) 255-9150

600 W Lake Cook Rd
Ste 110
Buffalo Grove, IL 60089
Phone (847) 459-6495

7447 W Talcott Ave
Ste 321
Chicago, IL 60631
Phone (773) 774-7122

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": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1215324447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W LAKE COOK RD STE 110",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600892085",
            "telephone_number": "847-459-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W LAKE COOK RD STE 110",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600892085",
            "telephone_number": "847-459-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZER",
        "first_name": "ALEX",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-27",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "IL",
            "license": "036.150795",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "IL",
            "license": "036.150795",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IL",
            "license": "036.150795",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036.150795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

Verify at the official NPI Registry.