Individual provider Active NPI

Joshua O Podjasek, M.D.

  • Dermatology Physician
  • Darien, IL
National Provider Identifier
1245496850
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036.133122 Issued in IL
Practice address
8110 S Cass Ave
Darien, IL 60561-5013
Phone
(630) 920-1900
Fax
(630) 920-1901
NPI assigned
Aug 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125.054490 IL
Dermatology Physician 207N00000X 104541 MN
Dermatology Physician 207N00000X 52332 MN
Dermatology Physician 207N00000X 036.133122 IL Primary

Addresses

Primary practice location

8110 S Cass Ave
Darien, IL 60561-5013

Mailing address

8110 S Cass Ave
Darien, IL 60561-5013
Phone (630) 920-1900

Other identifiers 1

IdentifierTypeStateIssuer
ENROLLEDMedicaidMN

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
I20131219000826 IL Practitioner - Dermatology 6103971213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Rush Medical College of Rush University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Dermatology and Vein Clinic LLCGroup PAC ID 0648567404, 4 clinicians

Practice addresses (Care Compare)

8110 Cass Ave
Darien, IL 60561-5013
Phone (630) 920-1900

Merit-based Incentive Payment System (MIPS)

Final score
83.78 of 100Reported as group
Quality
87.26
Promoting interoperability
100
Improvement activities
40
Cost
58.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision184
Removal of skin lesions2096
Removal of nail tissue1-10
Removal or shaving of skin growth87
Skin biopsy475

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.133122ILMDDermatology Physician
52332MNMDDermatology Physician
125.054490ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Dermatology and Vein Clinic LLC Dermatology CurrentSince Jan 19, 2026 Accepting new patients

Locations

8110 Cass Ave
Darien, IL 60561
Phone (630) 920-1900

4605 Golf Rd
Skokie, IL 60076
Phone (773) 294-0107

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/J3trBeALwJU1F3hepm2v21jJ96hxu50P/

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.

NPI Registry JSON

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

{
    "created_epoch": "1217721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1245496850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 S CASS AVE",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615013",
            "telephone_number": "630-920-1900",
            "fax_number": "630-920-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 S CASS AVE",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615013",
            "telephone_number": "630-920-1900",
            "fax_number": "630-920-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODJASEK",
        "first_name": "JOSHUA",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-03",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.054490",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "104541",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "52332",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036.133122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, IL

Sources for this page

Verify at the official NPI Registry.