Individual provider Active NPI

Steven Baxter Deliduka, M.D.

  • Dermatology Physician
  • Northbrook, IL
National Provider Identifier
1598712937
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036.118712 Issued in IL
Practice address
400 Skokie Blvd Ste 475
Northbrook, IL 60062-7930
Phone
(847) 272-4433
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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 036.118712 IL Primary

Addresses

Primary practice location

400 Skokie Blvd Ste 475
Northbrook, IL 60062-7930

Mailing address

400 Skokie Blvd Ste 475
Northbrook, IL 60062-7930

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
I20071113000152 IL Practitioner - Dermatology 0143299651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Pennsylvania State University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dermatology Partners of the North Shore LLCGroup PAC ID 2264427251, 12 clinicians

Practice addresses (Care Compare)

400 Skokie Blvd
Suite 475
Northbrook, IL 60062-7930
Phone (847) 272-4433

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions517
Removal or shaving of skin growth1-10
Skin biopsy130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.118712ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Partners of the North Shore LLC Dermatology CurrentSince Oct 24, 2024 Accepting new patients
Mercy Health System Corporation CurrentSince May 2, 2016 Accepting new patients
Mercy Health System Corporation CurrentSince May 2, 2016 Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

400 Skokie Blvd
Ste 475
Northbrook, IL 60062
Phone (847) 272-4433

2000 Lake Ave
Woodstock, IL 60098
Phone (815) 337-4116

Organizations & group practices 3

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1598712937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SKOKIE BLVD STE 475",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600627930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SKOKIE BLVD STE 475",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600627930",
            "telephone_number": "847-272-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELIDUKA",
        "first_name": "STEVEN",
        "middle_name": "BAXTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036.118712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.