NPIMap

Organization Active NPI

Schaumburg Dermatology SC

  • Dermatology Physician
  • Schaumburg, IL
National Provider Identifier
1609987171
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036112126 Issued in IL
Legal business name
SCHAUMBURG DERMATOLOGY SC
Practice address
911 N Plum Grove Rd Ste a
Schaumburg, IL 60173-4793
Phone
(847) 534-0700
Fax
(847) 413-1818
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Authorized official

Name
Dr. Prashant Singri, MDNPI 1922094929
Title
President
Phone
(847) 534-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 036112126 IL Primary

Addresses

Primary practice location

911 N Plum Grove Rd Ste a
Schaumburg, IL 60173-4793

Mailing address

911 N Plum Grove Rd Ste a
Schaumburg, IL 60173-4793
Phone (847) 534-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050907000286 IL Part B Supplier - Clinic/Group Practice 6002848496 Receives reassigned benefits from 10 practitioners
Practice locations: Schaumburg, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1041391Schaumburg Dermatology911 N Plum Grove Rd, Suite a, Schaumburg, IL 60173ComplianceFeb 27, 2027

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1609987171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 N PLUM GROVE RD STE A",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734793",
            "telephone_number": "847-534-0700",
            "fax_number": "847-413-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N PLUM GROVE RD STE A",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734793",
            "telephone_number": "847-534-0700",
            "fax_number": "847-413-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHAUMBURG DERMATOLOGY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "SINGRI",
        "authorized_official_first_name": "PRASHANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-534-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036112126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.