Individual provider Active NPI

Tehming Liang, M.D.,PHD.

  • Dermatology Physician
  • Bolingbrook, IL
National Provider Identifier
1558478487
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036078279 Issued in IL
Practice address
580 E Boughton Rd Ste a
Bolingbrook, IL 60440-2140
Phone
(630) 972-2600
Fax
(630) 972-2604
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 036078279 IL Primary

Addresses

Primary practice location

580 E Boughton Rd Ste a
Bolingbrook, IL 60440-2140

Mailing address

580 E Boughton Rd Ste a
Bolingbrook, IL 60440-2140
Phone (630) 972-2600

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
I20120206000714 IL Practitioner - Dermatology 9133386998 Reassigns benefits to 1 organization
Practice locations: Bolingbrook, IL

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Miami, LM Miller School of Medicine, 1987
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)

580 E Boughton Rd
Suite a
Bolingbrook, IL 60440-2565
Phone (815) 744-8554

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) excision53
Removal of skin lesions577
Removal of nail tissue1-10
Skin biopsy89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Dermatology, SC Dermatology CurrentSince Jun 28, 2019 Accepting new patients

Locations

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

1124 Essington Rd
Ste A
Joliet, IL 60435

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

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

Interoperability endpoints

  • Direct secure messaging: tliang@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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1558478487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 E BOUGHTON RD STE A",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402140",
            "telephone_number": "630-972-2600",
            "fax_number": "630-972-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 E BOUGHTON RD STE A",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402140",
            "telephone_number": "630-972-2600",
            "fax_number": "630-972-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIANG",
        "first_name": "TEHMING",
        "name_prefix": "Dr.",
        "credential": "M.D.,PHD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036078279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.