Active NPI
Cristina R Camara, MD
- Dermatology Physician
- Crest Hill, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 036103055
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
2051 Plainfield Rd
Crest Hill, IL 60403-1865
Phone (815) 741-4343
Hospital & facility affiliations
- Morris Hospital & Healthcare Centers
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.45 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 43 |
| Removal of skin lesions | 2378 |
| Removal or shaving of skin growth | 86 |
| Skin biopsy | 582 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036103055 | IL | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forefront Dermatology, S.C. | Dermatology | Current | Accepting new patients |
| Forefront Dermatology, S.C. | Dermatology | Current | Accepting new patients |
| Forefront Dermatology, S.C. | Dermatology | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.