Individual provider Active NPI

Scott L Zahner, MD

  • MOHS-Micrographic Surgery Physician
  • Hinsdale, IL
National Provider Identifier
1629079462
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
036082742 Issued in IL
Practice address
908 N Elm St Ste 300
Hinsdale, IL 60521-3625
Phone
(630) 884-5913
Fax
(630) 455-1759
NPI assigned
Aug 2, 2005
Reactivated
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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 036082742 IL
MOHS-Micrographic Surgery Physician 207ND0101X 036082742 IL Primary

Addresses

Primary practice location

908 N Elm St Ste 300
Hinsdale, IL 60521-3625

Mailing address

908 N Elm St Ste 300
Hinsdale, IL 60521-3625
Phone (630) 884-5913

Other practice location 1

2435 Dean St Ste 2E
St Charles, IL 60175-4827
Phone (630) 528-2861

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
I20040127000431 IL Practitioner - Dermatology 5193627362 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalskin Medical Group Il PLLCGroup PAC ID 5991116261, 56 clinicians

Practice addresses (Care Compare)

908 N Elm St
Suite 300
Hinsdale, IL 60521-3625
Phone (630) 884-5913

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision219
Removal of skin lesions1360
Removal of skin cancer218
Removal of nail tissue1-10
Skin biopsy223

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036082742ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County CurrentSince Nov 30, 2011 Accepting new patients
Cook County Dermatology CurrentSince Nov 30, 2011 Accepting new patients
Vitalskin Medical Group Il PLLC Dermatology CurrentSince Oct 1, 2023 Accepting new patients
Cook County Current Accepting new patients
Vitalskin Medical Group Il PLLC Dermatology CurrentSince Oct 1, 2023 Accepting new patients
Vitalskin Medical Group Il PLLC Past Accepting new patients

Locations

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

908 N Elm St
Ste 300
Hinsdale, IL 60521
Phone (630) 455-1756

917 Remington Rd
Mattoon, IL 61938
Phone (217) 205-3376

2435 Dean St
Ste 2E
St Charles, IL 60175
Phone (630) 433-7800

Organizations & group practices 6

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1629079462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 N ELM ST STE 300",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213625",
            "telephone_number": "630-884-5913",
            "fax_number": "630-455-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N ELM ST STE 300",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213625",
            "telephone_number": "630-884-5913",
            "fax_number": "630-455-1759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2435 Dean St Ste 2E",
            "address_purpose": "LOCATION",
            "city": "St Charles",
            "state": "IL",
            "postal_code": "601754827",
            "country_code": "US",
            "telephone_number": "630-528-2861",
            "fax_number": "630-443-7822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAHNER",
        "first_name": "SCOTT",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036082742",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IL",
            "license": "036082742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.