Active NPI
Lady C Dy, MD
- Dermatology Physician
- Glenview, IL
National Provider Identifier
1467462929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 036110662
- Practice address
- 1452 Waukegan Rd
Glenview, IL 60025-2121 - Phone
- (847) 832-1185
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | 036110662 | IL | |
| Dermatology Physician | 207N00000X | 036110662 | IL | Primary |
Addresses
Primary practice location
1452 Waukegan Rd
Glenview, IL 60025-2121
Mailing address
1452 Waukegan Rd
Glenview, IL 60025-2121
Phone (847) 832-1185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0361106621 | Medicaid | IL |
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ldy@dyderm.emadirect.md | ||
| Direct Messaging Address | ldy@dyderm.emadirect.md | ||
| Direct Messaging Address | ldy251796@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1452 Waukegan Rd
Glenview, IL 60025-2121
Phone (847) 832-1185
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.27 of 100
- Quality
- 96.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 17 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 636 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 236 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036110662 | IL | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dy Dermatology, LLC | Dermatology | Current | Accepting new patients |
Locations
1452 Waukegan Rd
Glenview, IL 60025
Phone (847) 832-1185
Interoperability endpoints
- ldy@dyderm.emadirect.md
- ldy251796@direct.myadvocateaurora.org
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.
-
- Dermatology Physician
- Glenview, IL
- NPI 1629443759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1467462929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1452 WAUKEGAN RD",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600252121",
"telephone_number": "847-832-1185",
"fax_number": "847-730-3617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1452 WAUKEGAN RD",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600252121",
"telephone_number": "847-832-1185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DY",
"first_name": "LADY",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "IL",
"license": "036110662",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IL",
"license": "036110662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0361106621",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ldy@dyderm.emadirect.md",
"affiliation": "N",
"endpointDescription": "we use EMA",
"address_1": "1452 Waukegan Rd",
"city": "Glenview",
"state": "IL",
"country_code": "US",
"postal_code": "600252121",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ldy@dyderm.emadirect.md",
"affiliation": "N",
"address_1": "1452 Waukegan Rd",
"city": "Glenview",
"state": "IL",
"country_code": "US",
"postal_code": "600252121",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ldy251796@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1452 Waukegan Rd",
"city": "Glenview",
"state": "IL",
"country_code": "US",
"postal_code": "600252121",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1452 Waukegan Rd",
"city": "Glenview",
"state": "IL",
"country_code": "US",
"postal_code": "600252121",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.