Individual provider Active NPI

Lady C Dy, MD

  • Dermatology Physician
  • Glenview, IL
National Provider Identifier
1467462929
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036110662 Issued in IL
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

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0361106621MedicaidIL

Electronic endpoints 4

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040526000632 IL Practitioner - Dermatology 8921089939 Reassigns benefits to 1 organization

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 100Reported as individual
Quality
96.86
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17
Removal of tissue1-10
Removal of skin lesions636
Removal or shaving of skin growth1-10
Skin biopsy236

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036110662ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dy Dermatology, LLC Dermatology CurrentSince Jan 25, 2016 Accepting new patients

Locations

1452 Waukegan Rd
Glenview, IL 60025
Phone (847) 832-1185

Interoperability endpoints

  • Direct secure messaging: ldy@dyderm.emadirect.md
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.