Individual provider Active NPI

Pamela L Scheinman, M.D.

  • Dermatology Physician
  • Chicago, IL
National Provider Identifier
1669429601
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036.158141 Issued in IL
Practice address
737 N Michigan Ave Ste 720
Chicago, IL 60611-6661
Phone
(312) 319-1978
Fax
(312) 262-7791
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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 036.158141 IL Primary

Addresses

Primary practice location

737 N Michigan Ave Ste 720
Chicago, IL 60611-6661

Mailing address

920 N York Rd Ste 100
Hinsdale, IL 60521-3515
Phone (312) 319-1978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050603000687 MA Practitioner - Dermatology 9739122466 Reassigns benefits to 2 organizations
I20220107001243 IL Practitioner - Dermatology 9739122466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Icahn School of Medicine at Mount Sinai, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jordan C Carqueville MD LLCGroup PAC ID 6709116361, 10 clinicians

Practice addresses (Care Compare)

737 N Michigan Ave
Suite 720
Chicago, IL 60611-6661
Phone (312) 319-1978

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.158141ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology & Skin Care Assoc PC Dermatology CurrentSince Jul 1, 2021 Accepting new patients
Jordan C. Carqueville, MD LLC Dermatology CurrentSince Dec 15, 2021 Accepting new patients

Locations

737 N Michigan Ave
Ste 720
Chicago, IL 60611
Phone (312) 255-0110

920 N York Rd
Ste 100
Hinsdale, IL 60521
Phone (312) 319-1978

10 Laurel Ave
Ste 300
Wellesley Hills, MA 02481
Phone (781) 235-8155

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.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1669429601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 N YORK RD STE 100",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213515",
            "telephone_number": "312-319-1978",
            "fax_number": "312-262-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 N MICHIGAN AVE STE 720",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606116661",
            "telephone_number": "312-319-1978",
            "fax_number": "312-262-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEINMAN",
        "first_name": "PAMELA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036.158141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.