Individual provider Active NPI

Rania Agha, M.D.

  • Dermatology Physician
  • Oakbrook Terrace, IL
National Provider Identifier
1366601312
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036125561 Issued in IL
Practice address
1 S 210 Summit Avenue
Oakbrook Terrace, IL 60181
Phone
(630) 627-3376
NPI assigned
Jun 5, 2008
Last updated
Mar 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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 036125561 IL Primary

Addresses

Primary practice location

1 S 210 Summit Avenue
Oakbrook Terrace, IL 60181

Mailing address

1 S 210 Summit Avenue
Oakbrook Terrace, IL 60181
Phone (630) 627-3376

Other identifiers 1

IdentifierTypeStateIssuer
1366601312MedicaidMI

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
I20110322000859 IL Practitioner - DermatologyPractitioner - Internal MedicinePractitioner - Other (Physician) 6204024094 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Dermatology and Aesthetic Surgery LTDGroup PAC ID 3476736844, 2 clinicians
Northshore Dermatology Center SCGroup PAC ID 5092807321, 5 clinicians

Practice addresses (Care Compare)

1 S210 Summit Ave
Oak Brook, IL 60181-3933
Phone (630) 282-6004

925 Sherwood Dr
Lake Bluff, IL 60044-2203
Phone (847) 234-1177

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal189
Melanoma (skin cancer) excision48
Removal of tissue1-10
Removal of skin lesions452
Removal of skin cancer143
Removal or shaving of skin growth346
Skin biopsy12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Dermatology and Aesthetic Surgery LTD Dermatology CurrentSince Sep 24, 2010 Accepting new patients
Northshore Dermatology Center SC Dermatology CurrentSince Sep 14, 2019 Accepting new patients
Julie S Goldberg MD SC Dermatology PastSince Mar 31, 2004 Accepting new patients
Algonquin Family Chiropractic LTD. PastSince Sep 12, 2016 Accepting new patients

Locations

985 Buffalo Grove Rd
Buffalo Grove, IL 60089
Phone (847) 541-4878

925 Sherwood Dr
Lake Bluff, IL 60044
Phone (847) 234-1177

800 N Westmoreland Rd
Ste 100C
Lake Forest, IL 60045
Phone (847) 615-2227

1S210 Summit Ave
Oakbrook Terrace, IL 60181
Phone (630) 282-6000

3612 Lake Ave
Unit 2B
Wilmette, IL 60091
Phone (847) 256-9400

Interoperability endpoints

  • Direct secure messaging: rania@northshore.emadirect.md

Organizations & group practices 4

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": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1366601312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S 210 SUMMIT AVENUE",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "60181",
            "telephone_number": "630-627-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S 210 SUMMIT AVENUE",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "60181",
            "telephone_number": "630-627-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGHA",
        "first_name": "RANIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036125561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366601312",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

Verify at the official NPI Registry.