Individual provider Active NPI

Michael Brent Dreifke, MD

  • Dermatology Physician
  • Mount Pleasant, WI
National Provider Identifier
1285976209
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
69757-20 Issued in WI
Practice address
1300 S Green Bay Rd Ste 100
Mount Pleasant, WI 53406
Phone
(262) 619-4191
Fax
(262) 634-5185
NPI assigned
Mar 18, 2013
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 125063100 IL
Dermatology Physician 207N00000X 69757-20 WI Primary

Addresses

Primary practice location

1300 S Green Bay Rd Ste 100
Mount Pleasant, WI 53406

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

1170 E Belvidere Rd Ste 206
Grayslake, IL 60030-2076
Phone (224) 541-8120

Other practice location 2

8501 75th St Ste J
Kenosha, WI 53142-7602
Phone (262) 697-8030

Other practice location 3

7001 S Howell Ave Ste 900
Oak Creek, WI 53154-1408
Phone (262) 898-4400

Other practice location 4

278 Memorial Dr
Crystal Lake, IL 60014-6246
Phone (815) 477-9858

Other practice location 5

217 Rice Lake Sq
Wheaton, IL 60189-2136
Phone (630) 221-1883

Other practice location 6

1019 S Green Bay Rd
Mount Pleasant, WI 53406-4009
Phone (262) 957-5080

Electronic endpoints 7

TypeEndpointUseAffiliation
Direct Messaging Address MD4202@forefrontdermatology.emadirect.md
Direct Messaging Address MD4202@forefrontdermatology.emadirect.md
Direct Messaging Address MD4202@forefrontdermatology.emadirect.md
Direct Messaging Address michael.dreifke.p1@direct.forefrontderm.nextgenshare.com
Direct Messaging Address michael.dreifke.p1@direct.forefrontderm.nextgenshare.com
Direct Messaging Address michael.dreifke.p1@direct.forefrontderm.nextgenshare.com
Direct Messaging Address michael.dreifke.p1@direct.forefrontderm.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180906000000 WI Practitioner - Dermatology 7517261621 Reassigns benefits to 1 organization
I20220823001965 IL Practitioner - Dermatology 7517261621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Toledo College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, shared by 26 NPIs, 650 clinicians

Practice addresses (Care Compare)

1300 S Green Bay Rd
Suite 100
Mount Pleasant, WI 53406-4469
Phone (262) 619-4191

217 Rice Lake SQ
Wheaton, IL 60189-2136
Phone (630) 221-1883

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision56
Removal of skin lesions455
Removal or shaving of skin growth158
Skin biopsy16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69757-20WIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology Current Accepting new patients
Forefront Dermatology, S.C. Dermatology Current Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Jul 26, 2018 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Jul 19, 2022 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

2051 Plainfield Rd
Crest Hill, IL 60403
Phone (815) 730-9900

278 Memorial Dr
Crystal Lake, IL 60014
Phone (815) 477-9858

1170 E Belvidere Rd
Ste 206
Grayslake, IL 60030
Phone (224) 541-8120

217 Rice Lake Sq
Wheaton, IL 60189
Phone (630) 221-1883

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

1300 S Green Bay Rd
Ste 100
Mount Pleasant, WI 53406
Phone (262) 619-4191

7001 S Howell Ave
Ste 900
Oak Creek, WI 53154
Phone (920) 663-9005

Interoperability endpoints

  • Direct secure messaging: md4202@forefrontdermatology.emadirect.md

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1285976209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S GREEN BAY RD STE 100",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "53406",
            "telephone_number": "262-619-4191",
            "fax_number": "262-634-5185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1170 E Belvidere Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Grayslake",
            "state": "IL",
            "postal_code": "600302076",
            "country_code": "US",
            "telephone_number": "224-541-8120",
            "fax_number": "224-541-8121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8501 75th St Ste J",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531427602",
            "country_code": "US",
            "telephone_number": "262-697-8030",
            "fax_number": "262-697-6157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7001 S Howell Ave Ste 900",
            "address_purpose": "LOCATION",
            "city": "Oak Creek",
            "state": "WI",
            "postal_code": "531541408",
            "country_code": "US",
            "telephone_number": "262-898-4400",
            "fax_number": "414-435-3406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "278 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600146246",
            "country_code": "US",
            "telephone_number": "815-477-9858",
            "fax_number": "815-477-9868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "217 Rice Lake Sq",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601892136",
            "country_code": "US",
            "telephone_number": "630-221-1883",
            "fax_number": "630-221-1885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1019 S Green Bay Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "WI",
            "postal_code": "534064009",
            "country_code": "US",
            "telephone_number": "262-957-5080",
            "fax_number": "262-957-5081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DREIFKE",
        "first_name": "MICHAEL",
        "middle_name": "BRENT",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-18",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "125063100",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "69757-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MD4202@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "7001 S Howell Ave Ste 900",
            "city": "Oak Creek",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531541408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MD4202@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "8501 75th St Ste J",
            "city": "Kenosha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531427602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MD4202@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1019 S Green Bay Rd",
            "city": "Mount Pleasant",
            "state": "WI",
            "country_code": "US",
            "postal_code": "534064009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.dreifke.p1@direct.forefrontderm.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1300 S Green Bay Rd Ste 100",
            "city": "Mount Pleasant",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.dreifke.p1@direct.forefrontderm.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1170 E Belvidere Rd Ste 206",
            "city": "Grayslake",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600302076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.dreifke.p1@direct.forefrontderm.nextgenshare.com",
            "affiliation": "N",
            "address_1": "278 Memorial Dr",
            "city": "Crystal Lake",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600146246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.dreifke.p1@direct.forefrontderm.nextgenshare.com",
            "affiliation": "N",
            "address_1": "217 Rice Lake Sq",
            "city": "Wheaton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601892136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

Verify at the official NPI Registry.