David Zachary Othman, M.D., M.H.S.A

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

036144735 Issued in IL

Practice address

2202 N Halsted St Ste 1
Chicago, IL 60614-3625

Phone

(312) 600-5826

Fax

(872) 260-5008

NPI assigned

May 9, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

Other identifiers 2

Other names 1

• Dr. David Zachary Othman Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA, IL, AZ3 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 3

Specialty

Dermatology

Education

Northeastern Ohio University College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.11 of 100Reported as group

Quality

74.7

Promoting interoperability

100

Improvement activities

40

Cost

85.45

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00156

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.

• Illinois Skin Center LLC

  • Dermatology Physician
  • Chicago, IL
  • NPI 1588283402
  Medicare reassignment NPD Authorized official
• California Dermatology Institute PC

  dba California Dermatology Institute

  • Dermatology Physician
  • Thousand Oaks, CA
  • NPI 1235671389

  AZ

  Medicare reassignment NPD
• Pure Skinology LLC

  • Medical Specialty Clinic/Center
  • Chicago, IL
  • NPI 1649807074

  Dermatology

  NPD Authorized official
• Physicians Dermpath Laboratory

  • Dermatopathology Physician
  • Park Ridge, IL
  • NPI 1376866897
  NPD (past)
• California Rheumatology Institute Inc

  dba California Rheumatology Institute

  • Rheumatology Physician
  • Huntington Park, CA
  • NPI 1326857772
  NPD (past)

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1760741938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 N. HALSTED ST, SUITE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60614",
            "telephone_number": "312-600-5826",
            "fax_number": "872-260-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 N HALSTED ST STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143625",
            "telephone_number": "312-600-5826",
            "fax_number": "872-260-5008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3095 Old Conejo Rd",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913202130",
            "country_code": "US",
            "telephone_number": "888-367-1850",
            "fax_number": "805-222-0323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTHMAN",
        "first_name": "DAVID",
        "middle_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "M.D., M.H.S.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-09",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "IL",
            "license": "036144735",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IL",
            "license": "036144735",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IL",
            "license": "036144735",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "143497",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "143497",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036144735",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "143497",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024369500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036144735",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NOREPLY@ILSKIN.COM",
            "affiliation": "Y",
            "affiliationName": "Illinois Skin Center LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2202 N Halsted St Ste 1",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606143625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "OTHMAN",
            "middle_name": "ZACHARY",
            "prefix": "DR.",
            "credential": "M.D., M.H.S.A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Takeyoshi Ota
• Blessing E Otaigbe, FNP
• Giovanna Otavalo
• Otero Medical Center, S.C.
• William Enrique Otero, M.D.
• Omar Othman, M.D.
• Othrocare Solution LLC
• Otilio Melero MDSC
• Carmelthia Otis, RPH
• Thomson Campbell Otis, DPT

• Procedural Dermatology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Procedural Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.