Active NPI
Scott David Glazer, M.D.
- Procedural Dermatology Physician
- Buffalo Grove, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- 036059380
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.54 of 100
- Quality
- 71.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 170 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 2413 |
| Removal or shaving of skin growth | 50 |
| Skin biopsy | 2177 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036059380 | IL | MD | Procedural Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott D. Glazer, M.D., S.C. | Dermatology | Current | 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.
-
- Procedural Dermatology Physician
- Buffalo Grove, IL
- NPI 1215151857
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1578932869
-
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1770531600
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.