Individual provider Active NPI

Benjamin C Garden, M.D.

  • Dermatology Physician
  • Skokie, IL
National Provider Identifier
1699193334
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036145621 Issued in IL
Practice address
4605 Golf Rd
Skokie, IL 60076
Phone
(847) 679-5199
Fax
(847) 679-5490
NPI assigned
Mar 31, 2014
Last updated
Jun 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 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 036145621 IL Primary
MOHS-Micrographic Surgery Physician 207ND0101X 036145621 IL

Addresses

Primary practice location

4605 Golf Rd
Skokie, IL 60076

Mailing address

4605 Golf Rd
Skokie, IL 60076-1209
Phone (847) 679-5199

Other practice location 1

150 E Huron St Ste 1050
Chicago, IL 60611-2912
Phone (312) 280-0890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, OH, MI4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20180813002786 IL Practitioner - Dermatology 9931419058 Reassigns benefits to 3 organizations
I20210823001878 IN Practitioner - Dermatology 9931419058 Reassigns benefits to 1 organization
I20250522002396 OH Practitioner - Dermatology 9931419058 Reassigns benefits to 1 organization
I20260601003007 MI Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 9931419058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Dermatology Associates of Chicago LTDGroup PAC ID 0042539702, 7 clinicians
University Dermatology and Vein Clinic LLCGroup PAC ID 0648567404, 4 clinicians

Practice addresses (Care Compare)

1150 S State Rd
Suite 135
Greenwood, IN 46143-9419
Phone (773) 260-0964

363 W Erie St
Suite 350
Chicago, IL 60654-6933
Phone (312) 922-1955

4605 Golf Rd
Skokie, IL 60076-1209
Phone (847) 679-5199

4700 N Marine Dr
Suite 220
Chicago, IL 60640-7972
Phone (773) 334-3376

6 Louis Dr
Pepper Pike, OH 44124-4313
Phone (773) 260-0964

8110 Cass Ave
Darien, IL 60561-5013
Phone (630) 920-1900

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as individual
Quality
94.02
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision38
Removal of tissue19
Removal of skin lesions913
Removal of skin cancer66
Removal or shaving of skin growth1-10
Skin biopsy145

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Dermatology and Vein Clinic LLC Dermatology CurrentSince Jul 30, 2018 Accepting new patients
St Joseph Dermatology and Vein Clinic PLLC Dermatology CurrentSince Jun 1, 2026 Accepting new patients
Vax Concierge Oh LLC Dermatology CurrentSince Apr 1, 2025 Accepting new patients
Renew Wound Care of Illinois PLLC CurrentSince Apr 1, 2021 Accepting new patients
Medical Dermatology Associates of Chicago, LTD Dermatology CurrentSince Aug 29, 2024 Accepting new patients
Vax Concierge in LLC Dermatology CurrentSince Jun 1, 2024 Accepting new patients
Trio Health Medical Il Physiatry Partners PLLC PastSince Aug 22, 2025 Accepting new patients
Trio Health Medical Il NP Partners PLLC PastSince Sep 23, 2025 Accepting new patients

Locations

363 W Erie St
Ste 350
Chicago, IL 60654
Phone (312) 922-1955

4700 N Marine Dr
Ste 220
Chicago, IL 60640
Phone (217) 516-0669

8110 Cass Ave
Darien, IL 60561
Phone (630) 920-1900

7257 N Lincoln Ave
Lincolnwood, IL 60712
Phone (847) 745-6212

4605 Golf Rd
Skokie, IL 60076
Phone (630) 963-4000

1150 S State Road 135
Greenwood, IN 46143
Phone (773) 260-0964

2900 Niles Rd
Saint Joseph, MI 49085
Phone (269) 428-5199

1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/J3trBeALwJU1F3hepm2v21jJ96hxu50P/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1699193334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 GOLF RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761209",
            "telephone_number": "847-679-5199",
            "fax_number": "847-679-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 GOLF RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "60076",
            "telephone_number": "847-679-5199",
            "fax_number": "847-679-5490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 E Huron St Ste 1050",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112912",
            "country_code": "US",
            "telephone_number": "312-280-0890",
            "fax_number": "312-280-9615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDEN",
        "first_name": "BENJAMIN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-31",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036145621",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IL",
            "license": "036145621",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.