Individual provider Active NPI

Sogyong Auh, MD

  • MOHS-Micrographic Surgery Physician
  • Crest Hill, IL
National Provider Identifier
1578852836
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
036141494 Issued in IL
Practice address
2051 Plainfield Rd
Crest Hill, IL 60403-1865
Phone
(815) 741-4343
Fax
(815) 741-8660
NPI assigned
Apr 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 036141494 IL
MOHS-Micrographic Surgery Physician 207ND0101X 036141494 IL Primary

Addresses

Primary practice location

2051 Plainfield Rd
Crest Hill, IL 60403-1865

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9016

Other practice location 1

1520 Bond St
Naperville, IL 60563-2358
Phone (630) 357-7536

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address SA2636@forefrontdermatology.emadirect.md
Direct Messaging Address SA2636@forefrontdermatology.emadirect.md

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
I20160901000034 IL Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - DermatologyPractitioner - Other (Physician) 5092020461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
University of Chicago, Pritzker School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

507 W Kendall Dr
Suite 2
Yorkville, IL 60560-2041
Phone (630) 357-7536

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision145
Removal of skin lesions96
Removal of skin cancer638
Skin biopsy47

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince Sep 1, 2016 Accepting new patients
Forefront Dermatology, S.C. Dermatology Current Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Sep 1, 2016 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

2051 Plainfield Rd
Crest Hill, IL 60403
Phone (815) 730-9900

1520 Bond St
Naperville, IL 60563
Phone (630) 357-7536

507 W Kendall Dr
Ste 2
Yorkville, IL 60560
Phone (630) 236-4270

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: sa2636@forefrontdermatology.emadirect.md

Organizations & group practices 4

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": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1578852836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9016",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 PLAINFIELD RD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604031865",
            "telephone_number": "815-741-4343",
            "fax_number": "815-741-8660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 Bond St",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605632358",
            "country_code": "US",
            "telephone_number": "630-357-7536",
            "fax_number": "630-904-0413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUH",
        "first_name": "SOGYONG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036141494",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IL",
            "license": "036141494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SA2636@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2051 Plainfield Rd",
            "city": "Crest Hill",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604031865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SA2636@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1520 Bond St",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605632358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crest Hill, IL

Sources for this page

Verify at the official NPI Registry.