Vanessa Lynn Dybala, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

085001122 Issued in IL

Practice address

1786 Moon Lake Blvd Ste 100
Hoffman Estates, IL 60169-1016

Phone

(847) 882-9300

Fax

(847) 882-9348

NPI assigned

Jul 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bakal Dermatology Associates SCGroup PAC ID 1254466816, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Bakal Dermatology Associates, S.C.

  • Dermatology Physician
  • Hoffman Estates, IL
  • NPI 1730188061
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1770518615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1786 MOON LAKE BLVD STE 100",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691016",
            "telephone_number": "847-882-9300",
            "fax_number": "847-882-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1786 MOON LAKE BLVD STE 100",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691016",
            "telephone_number": "847-882-9300",
            "fax_number": "847-882-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYBALA",
        "first_name": "VANESSA",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085001122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vanessadybala@bakaldermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1786 Moon Lake Blvd Ste 100",
            "city": "Hoffman Estates",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601691016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Fred J Duboe, MD
• Karla J. Dunston, MD
• Maura Dussman, CPNP
• Kyra Michelle Dworak
• Loretta D Dy, PHARMD
• E-Ztherapy,LLC
• Gregory Eakle, LPN
• Christopher Early
• Eastern Rise, LLC.
• Edge Medical Center LTD

• Medical Physician Assistant in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• Medical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.