Individual provider Active NPI

Ralph Fiore II, D.O

  • Dermatology Physician
  • Chicago, IL
National Provider Identifier
1770524043
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036.131170 Issued in IL
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

Updated by the provider on Dec 8, 2021

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 036.131170 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LTDGroup PAC ID 8628027273, 11 clinicians

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 100Reported as group
Quality
97.09
Improvement activities
40
Cost
81.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions2021
Removal or shaving of skin growth410
Skin biopsy103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Physician Assistant

State licenses

LicenseStateTypeSpecialty
036.131170ILMDDermatology Physician
1630WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates LTD CurrentSince Nov 1, 2020 Accepting new patients
Rush University Medical Group Dermatology CurrentSince Mar 27, 2020 Accepting new patients
Dermatology Associates LTD CurrentSince Nov 1, 2020 Accepting new patients
Rush University Medical Center Past Accepting new patients
Rockford Psychiatric Medical Services, S.C. PastSince Apr 28, 2023 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACEFAA
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.