Individual provider Active NPI

Owen Neale Kramer

  • MOHS-Micrographic Surgery Physician
  • Elmhurst, IL
National Provider Identifier
1477086874
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
036.152879 Issued in IL
Practice address
103 N Haven Rd Ste 7
Elmhurst, IL 60126-2973
Phone
(630) 832-2111
Fax
(630) 832-5199
NPI assigned
Apr 4, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 036.152879 IL Primary

Addresses

Primary practice location

103 N Haven Rd Ste 7
Elmhurst, IL 60126-2973

Mailing address

PO Box 734240
Chicago, IL 60673-5147
Phone (615) 277-9055

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
I20210611000906 IL Practitioner - Dermatology 7416228507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians

Practice addresses (Care Compare)

1124 Essington Rd
Suite a
Joliet, IL 60435-8442
Phone (815) 744-8554

2500 S Highland Ave
Suite 320
Lombard, IL 60148-5390
Phone (815) 744-8554

Hospital & facility affiliations

  • Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision66
Removal of skin lesions1188
Removal of skin cancer30
Removal or shaving of skin growth44
Skin biopsy437

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Dermatology, SC Mohs-Micrographic Surgery CurrentSince Jul 9, 2021 Accepting new patients
Academic Dermatology,PC Past Accepting new patients

Locations

738 W Northwest Hwy
Barrington, IL 60010
Phone (847) 382-5111

580 E Boughton Rd
Ste A
Bolingbrook, IL 60440
Phone (630) 972-2600

595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944

7123 W Archer Ave
Chicago, IL 60638
Phone (773) 586-4506

30 N Michigan Ave
Ste 1429
Chicago, IL 60602
Phone (312) 263-7171

606 W Pershing Rd
Decatur, IL 62526
Phone (217) 877-7171

103 N Haven Rd
Ste 7
Elmhurst, IL 60126
Phone (630) 832-2111

20646 Abbey Woods Ct N
Ste 104
Frankfort, IL 60423
Phone (815) 373-1001

2500 W Higgins Rd
Ste 1040
Hoffman Estates, IL 60169
Phone (847) 884-8096

1124 Essington Rd
Joliet, IL 60435
Phone (815) 373-1004

1124 Essington Rd
Ste A
Joliet, IL 60435

2500 S Highland Ave
Ste 320
Lombard, IL 60148
Phone (630) 793-8193

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

1828 Bay Scott Cir
Naperville, IL 60540
Phone (630) 381-0365

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

1870 Silver Cross Blvd
Ste 250
New Lenox, IL 60451
Phone (815) 462-3474

4550 Southwest Hwy
Oak Lawn, IL 60453
Phone (708) 231-1445

10720 165th St
Orland Park, IL 60467
Phone (708) 460-7890

123 W Michigan St
Ottawa, IL 61350
Phone (815) 431-9850

Interoperability endpoints

  • Direct secure messaging: okramer18027@uihealth.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1477086874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734240",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735147",
            "telephone_number": "615-277-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N HAVEN RD STE 7",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262973",
            "telephone_number": "630-832-2111",
            "fax_number": "630-832-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "OWEN",
        "middle_name": "NEALE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-04",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IL",
            "license": "036.152879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.