Active NPI
Ralph Fiore II, D.O
- Dermatology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 036.131170
- Practice address
- 1725 W Harrison St Ste 264
Chicago, IL 60612-3844 - Phone
- (312) 942-2195
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 036.131170 | IL | Primary |
Addresses
Primary practice location
1725 W Harrison St Ste 264
Chicago, IL 60612-3844
Mailing address
1725 W Harrison St Ste 264
Chicago, IL 60612-3844
Phone (312) 942-2195
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | rfiore291923@direct.myadvocateaurora.org | Health Information Exchange (HIE) |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181109001074 | IL | Practitioner - Dermatology | 7618958422 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dermatology Associates LTD
Practice addresses (Care Compare)
18425 W Creek Dr
Suite F
Tinley Park, IL 60477-6768
Phone (708) 444-8300
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.27 of 100
- Quality
- 97.09
- Improvement activities
- 40
- Cost
- 81.45
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 2021 |
| Removal or shaving of skin growth | 410 |
| Skin biopsy | 103 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.131170 | IL | MD | Dermatology Physician |
| 1630 | WI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Associates LTD | Current | Accepting new patients | |
| Rush University Medical Group | Dermatology | Current | Accepting new patients |
| Dermatology Associates LTD | Current | Accepting new patients | |
| Rush University Medical Center | Past | Accepting new patients | |
| Rockford Psychiatric Medical Services, S.C. | Past | Accepting new patients |
Locations
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1725 W Harrison St
Ste 264
Chicago, IL 60612
Phone (312) 942-2195
539 N Dearborn St
Chicago, IL 60654
Phone (312) 549-4400
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
1411 S Michigan Ave
Chicago, IL 60605
Phone (312) 454-2700
420 Nelson Rd
New Lenox, IL 60451
Phone (815) 462-3474
20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857
13401 S Ridgeland Ave
Palos Heights, IL 60463
Phone (708) 444-8300
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
18425 West Creek Dr
Ste F
Tinley Park, IL 60477
Phone (708) 444-8300
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ACEFAA
- rfiore146116@direct.rush.rush-health.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
Dermatology, IL
-
- Non-Pharmacy Dispensing Site
- Palos Heights, IL
- NPI 1386255123
-
- Psychiatry Physician
- Rockford, IL
- NPI 1821391442
-
- Gastroenterology Physician
- Chicago, IL
- NPI 1073555769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1770524043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 W HARRISON ST STE 264",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123844",
"telephone_number": "312-942-2195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 W HARRISON ST STE 264",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123844",
"telephone_number": "312-942-2195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIORE",
"first_name": "RALPH",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2021-12-08",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IL",
"license": "036.131170",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "rfiore291923@direct.myadvocateaurora.org",
"affiliation": "N",
"endpointDescription": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "18425 West Creek Dr",
"address_2": "SteF",
"city": "Tinley Park",
"state": "IL",
"country_code": "US",
"postal_code": "60477",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.