Individual provider Active NPI

Moira C Ariano, M.D.

  • Dermatology Physician
  • Naperville, IL
National Provider Identifier
1396740981
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036067948 Issued in IL
Practice address
2323 Naperville Rd Ste 120
Naperville, IL 60563-5606
Phone
(630) 462-8680
Fax
(306) 462-8685
NPI assigned
Jun 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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 036067948 IL Primary
Specialist 174400000X 036067948 IL

Addresses

Primary practice location

2323 Naperville Rd Ste 120
Naperville, IL 60563-5606

Mailing address

7 Blanchard Cir
Ste 203
Wheaton, IL 60187-1039
Phone (630) 390-1240

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
I20031203000195 IL Practitioner - Dermatology 6800790353

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036067948ILMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Dermatology, SC Dermatology CurrentSince Mar 17, 2021 Accepting new patients

Locations

1124 Essington Rd
Ste A
Joliet, IL 60435

820 Springer Dr
Lombard, IL 60148
Phone (708) 634-4602

2323 Naperville Rd
Ste 120
Naperville, IL 60563
Phone (630) 462-8680

Interoperability endpoints

  • Direct secure messaging: mariano@directaddress.net

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1396740981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BLANCHARD CIR",
            "address_2": "STE 203",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601871039",
            "telephone_number": "630-390-1240",
            "fax_number": "630-390-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 NAPERVILLE RD STE 120",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605635606",
            "telephone_number": "630-462-8680",
            "fax_number": "306-462-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIANO",
        "first_name": "MOIRA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036067948",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036067948",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.