Individual provider Active NPI

Cristina R Camara, MD

  • Dermatology Physician
  • Crest Hill, IL
National Provider Identifier
1790779270
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036103055 Issued in IL
Practice address
2051 Plainfield Rd
Crest Hill, IL 60403-1865
Phone
(815) 741-4343
Fax
(815) 741-8660
NPI assigned
Sep 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 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 036103055 IL Primary

Addresses

Primary practice location

2051 Plainfield Rd
Crest Hill, IL 60403-1865

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9016

Other practice location 1

1600 W US Route 6
Morris, IL 60450-8854
Phone (815) 941-9500

Other practice location 2

1890 Silver Cross Blvd Ste 505
New Lenox, IL 60451-9596
Phone (708) 424-0656

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address CC2292@forefrontdermatology.emadirect.md
Direct Messaging Address CC2292@forefrontdermatology.emadirect.md
Direct Messaging Address CC2292@forefrontdermatology.emadirect.md

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
I20101110000300 IL Practitioner - Dermatology 3274728761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

2051 Plainfield Rd
Crest Hill, IL 60403-1865
Phone (815) 741-4343

Hospital & facility affiliations

  • Morris Hospital & Healthcare Centers Hospital, Morris, IL, CCN 140101

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision43
Removal of skin lesions2378
Removal or shaving of skin growth86
Skin biopsy582

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036103055ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology Current Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Nov 11, 2015 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Nov 11, 2015 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

2051 Plainfield Rd
Crest Hill, IL 60403
Phone (815) 730-9900

1600 W US Route 6
Morris, IL 60450
Phone (815) 364-8915

1520 Bond St
Naperville, IL 60563
Phone (630) 357-7536

1890 Silver Cross Blvd
Ste 505
New Lenox, IL 60451
Phone (708) 424-0656

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: cc2292@forefrontdermatology.emadirect.md

Organizations & group practices 4

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 1

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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1790779270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9016",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 PLAINFIELD RD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604031865",
            "telephone_number": "815-741-4343",
            "fax_number": "815-741-8660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 W US Route 6",
            "address_purpose": "LOCATION",
            "city": "Morris",
            "state": "IL",
            "postal_code": "604508854",
            "country_code": "US",
            "telephone_number": "815-941-9500",
            "fax_number": "815-942-4998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1890 Silver Cross Blvd Ste 505",
            "address_purpose": "LOCATION",
            "city": "New Lenox",
            "state": "IL",
            "postal_code": "604519596",
            "country_code": "US",
            "telephone_number": "708-424-0656",
            "fax_number": "630-904-0413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMARA",
        "first_name": "CRISTINA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036103055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CC2292@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2051 Plainfield Rd",
            "city": "Crest Hill",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604031865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CC2292@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1600 W US Route 6",
            "city": "Morris",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604508854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CC2292@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1890 Silver Cross Blvd Ste 505",
            "city": "New Lenox",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604519596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crest Hill, IL

Sources for this page

Verify at the official NPI Registry.