Individual provider Active NPI

Scott David Glazer, M.D.

  • Procedural Dermatology Physician
  • Buffalo Grove, IL
National Provider Identifier
1770587206
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
036059380 Issued in IL
Practice address
600 W Lake Cook Rd
Ste 110
Buffalo Grove, IL 60089-2089
Phone
(847) 459-6611
Fax
(847) 459-7929
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 036059380 IL Primary
Dermatopathology Physician 207ND0900X 036059380 IL
Dermatology Physician 207N00000X 036059380 IL
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X 036059380 IL

Addresses

Primary practice location

600 W Lake Cook Rd
Ste 110
Buffalo Grove, IL 60089-2089

Mailing address

600 W Lake Cook Rd
Ste 110
Buffalo Grove, IL 60089-2089
Phone (847) 459-6611

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
I20051026000638 IL Practitioner - Dermatology 1951327709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Northwestern University Feinberg Medical School, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott D Glazer MD SCGroup PAC ID 5890711642, 6 clinicians

Practice addresses (Care Compare)

1430 N Arlington Heights Rd
Suite 213
Arlington Heights, IL 60004-4825
Phone (847) 255-9150

600 W Lake Cook Rd
Suite 110
Buffalo Grove, IL 60089-2085
Phone (847) 459-6611

7447 W Talcott Ave
Suite 321
Chicago, IL 60631-3714
Phone (773) 774-7122

Hospital & facility affiliations

  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252

Merit-based Incentive Payment System (MIPS)

Final score
91.54 of 100Reported as group
Quality
71.81
Promoting interoperability
100
Improvement activities
40
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision170
Removal of tissue1-10
Removal of skin lesions2413
Removal or shaving of skin growth50
Skin biopsy2177

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036059380ILMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott D. Glazer, M.D., S.C. Dermatology CurrentSince Jun 1, 1983 Accepting new patients

Locations

1430 N Arlington Heights Rd
Ste 213
Arlington Heights, IL 60004
Phone (847) 255-9150

1430 N Arlington Heights Rd
Ste 105
Arlington Heights, IL 60004
Phone (847) 255-0800

600 W Lake Cook Rd
Ste 110
Buffalo Grove, IL 60089
Phone (847) 459-6495

767 Park Ave W
Ste 310
Highland Park, IL 60035
Phone (847) 432-4650

Organizations & group practices 1

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 2

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1770587206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W LAKE COOK RD",
            "address_2": "STE 110",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600892089",
            "telephone_number": "847-459-6611",
            "fax_number": "847-459-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W LAKE COOK RD",
            "address_2": "STE 110",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600892089",
            "telephone_number": "847-459-6611",
            "fax_number": "847-459-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZER",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IL",
            "license": "036059380",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "IL",
            "license": "036059380",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036059380",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "IL",
            "license": "036059380",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

Verify at the official NPI Registry.