Individual provider Active NPI

Martha P Arroyo, MD

  • Dermatology Physician
  • Libertyville, IL
National Provider Identifier
1700867694
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036-114928 Issued in IL
Practice address
1240 N Milwaukee Ave Ste a
Libertyville, IL 60048-1307
Phone
(847) 367-5575
Fax
(847) 367-5579
NPI assigned
Nov 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 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 036-114928 IL Primary

Addresses

Primary practice location

1240 N Milwaukee Ave Ste a
Libertyville, IL 60048-1307

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

1425 N Hunt Club Rd Ste 202
Gurnee, IL 60031-2635
Phone (847) 855-1730

Other practice location 2

1240 N Milwaukee Ave Ste B
Libertyville, IL 60048-1307
Phone (847) 367-5575

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mparroyo@lakesidederm.emadirect.md

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
I20100512000039 IL Practitioner - Dermatology 0941107726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Stanford University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

1240 N Milwaukee Ave
Libertyville, IL 60048-1307
Phone (847) 250-0138

1425 N Hunt Club Rd
Suite 202
Gurnee, IL 60031-2635
Phone (847) 250-1491

2051 Plainfield Rd
Crest Hill, IL 60403-1865
Phone (815) 741-4343

Hospital & facility affiliations

  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

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

ProcedureNumber of procedures
Melanoma (skin cancer) excision141
Removal of skin lesions1363
Removal or shaving of skin growth495
Skin biopsy427

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-114928ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince Dec 12, 2022 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Dec 12, 2022 Accepting new patients
Physicians Dermpath Laboratory Past Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

2051 Plainfield Rd
Crest Hill, IL 60403
Phone (815) 730-9900

1425 N Hunt Club Rd
Ste 202
Gurnee, IL 60031
Phone (847) 855-1730

1240 N Milwaukee Ave
Ste B
Libertyville, IL 60048
Phone (847) 250-0138

1240 N Milwaukee Ave
Ste A
Libertyville, IL 60048
Phone (847) 250-0138

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

1515 S Green Bay Rd
Mount Pleasant, WI 53406
Phone (262) 653-5280

Interoperability endpoints

  • Direct secure messaging: martha.arroyo@forefrontdermatology.emadirect.md

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1700867694",
    "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": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 N MILWAUKEE AVE STE A",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481307",
            "telephone_number": "847-367-5575",
            "fax_number": "847-367-5579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 N Hunt Club Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Gurnee",
            "state": "IL",
            "postal_code": "600312635",
            "country_code": "US",
            "telephone_number": "847-855-1730",
            "fax_number": "847-855-1736",
            "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"
        }
    ],
    "basic": {
        "last_name": "ARROYO",
        "first_name": "MARTHA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036-114928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mparroyo@lakesidederm.emadirect.md",
            "affiliation": "N",
            "address_1": "1240 N Milwaukee Ave",
            "city": "Libertyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600481307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.