NPIMap

Organization Active NPI

Dermatology Associates LTD

  • Non-Pharmacy Dispensing Site
  • Palos Heights, IL
National Provider Identifier
1386255123
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
DERMATOLOGY ASSOCIATES LTD
Practice address
13401 S Ridgeland Ave
Palos Heights, IL 60463-1898
Phone
(708) 444-8300
NPI assigned
Aug 14, 2020
Last updated
Aug 14, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
DERMATOLOGY ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Authorized official

Name
Vivek Iyengar, MDNPI 1073589297
Title
Owner
Phone
(708) 444-8300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

13401 S Ridgeland Ave
Palos Heights, IL 60463-1898

Mailing address

18425 W Creek Dr Ste F
Tinley Park, IL 60477-6768
Phone (708) 444-8300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address s.mcalister@nextech.com Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2137582Dermatology Associates13401 S Ridgeland Ave, Palos Heights, IL 60463ComplianceMar 4, 2027

National Provider Directory

National Provider Directory
Part of
Dermatology Associates LTD

Locations

18425 West Creek Dr
Ste F
Tinley Park, IL 60477
Phone (708) 444-8300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACEFAA

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1386255123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18425 W CREEK DR STE F",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604776768",
            "telephone_number": "708-444-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13401 S RIDGELAND AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631898",
            "telephone_number": "708-444-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DERMATOLOGY ASSOCIATES",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "IYENGAR",
        "authorized_official_first_name": "VIVEK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-444-8300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "s.mcalister@nextech.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13401 S Ridgeland Ave",
            "city": "Palos Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604631898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.