Individual provider Active NPI

Leslie J.M. Beaird, M.D.

  • Dermatology Physician
  • Hoffman Estates, IL
National Provider Identifier
1245259142
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036104353 Issued in IL
Practice address
4885 Hoffman Blvd
Suite 407
Hoffman Estates, IL 60192-3726
Phone
(224) 484-0183
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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 036104353 IL Primary

Addresses

Primary practice location

4885 Hoffman Blvd
Suite 407
Hoffman Estates, IL 60192-3726

Mailing address

PO Box 3376
Barrington, IL 60011-3376
Phone (224) 484-0183

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
I20110215000638 IL Practitioner - Dermatology 8123024866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaird Dermatology SCGroup PAC ID 6204126238, 6 clinicians

Practice addresses (Care Compare)

4885 Hoffman Blvd
Hoffman Estates, IL 60192-3726
Phone (224) 484-0183

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision76
Removal of skin lesions1265
Removal or shaving of skin growth44
Skin biopsy629

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036104353ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaird Dermatology S C Dermatology CurrentSince Jun 15, 2016 Accepting new patients
M D Aesthetics and Dermatology LLC Dermatology PastSince Jun 15, 2016 Accepting new patients

Locations

4885 Hoffman Blvd
Ste 407
Hoffman Estates, IL 60192
Phone (224) 484-0183

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00197

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1245259142",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 HOFFMAN BLVD",
            "address_2": "SUITE 407",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601923726",
            "telephone_number": "224-484-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAIRD",
        "first_name": "LESLIE",
        "middle_name": "J.M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036104353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.