Giacomo Maggiolino, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

53395-020 Issued in WI

Practice address

8501 75TH St Ste J
Kenosha, WI 53142-7602

Phone

(262) 697-8030

Fax

(262) 697-6157

NPI assigned

Sep 9, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 6

Medicare fee-for-service enrollment

Enrolled in IL, WI2 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

Specialty

Dermatology

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Forefront Dermatology SCGroup PAC ID 3779471701, shared by 26 NPIs, 650 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: giacomo.maggiolino@forefrontdermatology.emadirect.md

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.

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Appleton, WI
  • NPI 1083768253
  Medicare reassignment NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Crest Hill, IL
  • NPI 1053783308
  Medicare reassignment NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Mequon, WI
  • NPI 1225473713
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Libertyville, IL
  • NPI 1841902038
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Manitowoc, WI
  • NPI 1578515904
  NPD (past)

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1699924100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-683-5278",
            "fax_number": "920-686-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 75TH ST STE J",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427602",
            "telephone_number": "262-697-8030",
            "fax_number": "262-697-6157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1440 N 25th St",
            "address_purpose": "LOCATION",
            "city": "Sheboygan",
            "state": "WI",
            "postal_code": "530813108",
            "country_code": "US",
            "telephone_number": "920-457-9100",
            "fax_number": "920-457-1461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9020 76th St Ste E",
            "address_purpose": "LOCATION",
            "city": "Pleasant Prairie",
            "state": "WI",
            "postal_code": "531581976",
            "country_code": "US",
            "telephone_number": "262-697-8030",
            "fax_number": "262-697-6157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1245 Cheyenne Ave",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Grafton",
            "state": "WI",
            "postal_code": "530249323",
            "country_code": "US",
            "telephone_number": "262-377-2222",
            "fax_number": "262-377-6543",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1240 N Milwaukee Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600481307",
            "country_code": "US",
            "telephone_number": "847-367-5575",
            "fax_number": "847-367-5579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1240 N Milwaukee Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600481307",
            "country_code": "US",
            "telephone_number": "847-367-5575",
            "fax_number": "847-367-5579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGGIOLINO",
        "first_name": "GIACOMO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-09",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "53395-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "53395-020",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Giacomo.Maggiolino@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1245 Cheyenne Ave",
            "address_2": "Suite 301",
            "city": "Grafton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530249323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Giacomo.Maggiolino@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1440 N 25th St",
            "city": "Sheboygan",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530813108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Giacomo.Maggiolino@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "8501 75th St Ste J",
            "city": "Kenosha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531427602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Giacomo.Maggiolino@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "9020 76th St Ste E",
            "city": "Pleasant Prairie",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531581976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Giacomo.Maggiolino@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1240 N Milwaukee Ave Ste A",
            "city": "Libertyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600481307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Giacomo.Maggiolino@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1240 N Milwaukee Ave Ste B",
            "city": "Libertyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600481307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katelyn Mack, M.S.
• Jolly P Macwan, NP
• Dana Marie Madden
• Corinne S Maerzke, COTA
• Sarah Magallon, LPC
• Victoria Mahboub, LCSW
• Timothy James Maher
• Megan Elizabeth Mahlkuch
• Carla Mahmud
• Jonathan D Main, MD

• Dermatology Physician in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Dermatology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.