Individual provider Active NPI

Kristen Michelle Paral, M.D.

  • Dermatopathology (Pathology) Physician
  • Durham, NC
National Provider Identifier
1508177668
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
036.132414 Issued in IL
Practice address
40 Duke Medicine Cir
Durham, NC 27710-4000
Phone
(919) 684-8815
Fax
(919) 681-8868
NPI assigned
Jun 23, 2010
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X 036.132414 IL Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 2016-01922 NC
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 125058109 IL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 01093188A IN

Addresses

Primary practice location

40 Duke Medicine Cir
Durham, NC 27710-4000

Mailing address

28100 N Ashley Cir
Ste 105
Libertyville, IL 60048-9478
Phone (800) 782-6945

Other names 1

  • Kristen Michelle Aquino Former name

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
I20180328000442 IL Practitioner - Pathology 9830479641 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Illinois Medical College, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bakal Dermatology Associates SCGroup PAC ID 1254466816, 7 clinicians
Dermatology Specialists of Illinois, LTDGroup PAC ID 7517288236, 10 clinicians
Deerfield Dermatology Associates, LTD.Group PAC ID 6204841760, 15 clinicians

Practice addresses (Care Compare)

1786 Moon Lake Blvd
Suite 100
Hoffman Estates, IL 60169-1016
Phone (847) 882-9300

2430 Esplanade Dr
Suite B
Algonquin, IL 60102-5500
Phone (847) 458-7546

707 Lake Cook Rd
Suite 280
Deerfield, IL 60015-5255
Phone (847) 480-0004

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.132414ILMDDermatopathology (Pathology) Physician
125058109ILMDAnatomic Pathology & Clinical Pathology Physician
01093188AINMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Consolidated Pathology Consultants SC Anatomic Pathology & Clinical Pathology CurrentSince Apr 9, 2018 Accepting new patients
North Shore Urogynecology LTD CurrentSince Jul 1, 2022 Accepting new patients
Consolidated Pathology Consultants, SC CurrentSince Apr 9, 2018 Accepting new patients
Deerfield Dermatology Associates, LTD. CurrentSince Jul 27, 2021 Accepting new patients
Algonquin Family Chiropractic LTD. CurrentSince Oct 9, 2018 Accepting new patients
Christina G Steil Dermatology LTD CurrentSince Nov 17, 2019 Accepting new patients
North Shore Center for Medical Aesthetics, LTD. CurrentSince Jun 19, 2020 Accepting new patients
FMGC, S.C. CurrentSince Aug 10, 2022 Accepting new patients
Schaumburg Dermatology SC CurrentSince Jun 1, 2018 Accepting new patients
Jordan C. Carqueville, MD LLC CurrentSince Nov 17, 2019 Accepting new patients
Bakal Dermatology Associates, S.C. Anatomic Pathology & Clinical Pathology CurrentSince Oct 1, 2018 Accepting new patients
Lake Shore Dermatology, LTD. CurrentSince May 1, 2018 Accepting new patients
Skin Dermatology, LLC Past Accepting new patients
Oak Dermatology LLC PastSince Jun 1, 2018 Accepting new patients
David I Rosen MD LTD PastSince Jun 19, 2020 Accepting new patients
James E Jupa MD SC Past Accepting new patients
Des Plaines Dermatology, LTD. Past Accepting new patients

Locations

1845 W Army Trail Rd
Addison, IL 60101
Phone (630) 458-8855

2430 Esplanade Dr
Ste B
Algonquin, IL 60102
Phone (224) 333-3424

3060 N Arlington Heights Rd
Arlington Heights, IL 60004
Phone (847) 394-1202

3060 N Arlington Heights Rd
#R
Arlington Heights, IL 60004
Phone (847) 394-1202

75 Remittance Dr
Dept 1895
Chicago, IL 60675

707 Lake Cook Rd
Ste 2
Deerfield, IL 60015
Phone (847) 564-0055

707 Lake Cook Rd
Ste 280
Deerfield, IL 60015
Phone (847) 480-0004

5157 Main St
Ste 205
Downers Grove, IL 60515
Phone (630) 455-0045

36100 N Brookside Dr
Ste 100
Gurnee, IL 60031
Phone (847) 244-2500

125 W 2nd St
Hinsdale, IL 60521
Phone (630) 455-0045

1786 Moon Lake Blvd
Ste 100
Hoffman Estates, IL 60169
Phone (847) 882-9300

1000 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6150

660 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6100

660 N Westmoreland Rd
Ste 306
Lake Forest, IL 60045
Phone (847) 615-5419

28100 N Ashley Cir
Ste 106
Libertyville, IL 60048
Phone (847) 737-7719

520 E 22nd St
Lombard, IL 60148
Phone (630) 874-2542

1535 Lake Cook Rd
Ste 401
Northbrook, IL 60062
Phone (847) 480-1111

351 Greenleaf St
Ste E
Park City, IL 60085
Phone (847) 680-7100

911 N Plum Grove Rd
Ste A
Schaumburg, IL 60173
Phone (847) 534-0700

270 Center Dr
Ste 130
Vernon Hills, IL 60061
Phone (847) 680-7100

3703 Doty Rd
Unit 2
Woodstock, IL 60098
Phone (815) 338-8400

Interoperability endpoints

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

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1508177668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28100 N ASHLEY CIR",
            "address_2": "STE 105",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600489478",
            "telephone_number": "800-782-6945",
            "fax_number": "919-620-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 DUKE MEDICINE CIR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277104000",
            "telephone_number": "919-684-8815",
            "fax_number": "919-681-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARAL",
        "first_name": "KRISTEN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "IL",
            "license": "036.132414",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "2016-01922",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "125058109",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IN",
            "license": "01093188A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "AQUINO",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.