Dolar R Koya MD SC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036055698 Issued in IL

Legal business name

DOLAR R KOYA MD SC

Practice address

40 S Clay St
Suite 113D
Hinsdale, IL 60521-3257

Phone

(630) 654-0600

NPI assigned

Aug 21, 2008

Organization subpart

Yes

Parent organization

DOLAR R KOYA MD SCAs reported in NPPES

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

Authorized official

Name

Dolar R Koya, MD

Title

Owner

Phone

(630) 654-0600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dolar R Koya MD SC

  • Dermatology Physician
  • Cresthill, IL
  • NPI 1417105917

  O20100618000373

  Same enrollment

Part of

Dolar R Koya MD SC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Dolar R Koya MD SC

  • Specialist
  • Aurora, IL
  • NPI 1770802548
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Cervenka, M.D.

  • Emergency Medicine Physician
  • Hinsdale, IL
  • NPI 1538238860
  NPD
• Komal D. Koya, D.O

  • Internal Medicine Physician
  • Hinsdale, IL
  • NPI 1932542602
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1811144868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 S CLAY ST",
            "address_2": "SUITE 113D",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213257",
            "telephone_number": "630-654-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S CLAY ST",
            "address_2": "SUITE 113D",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213257",
            "telephone_number": "630-654-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOLAR R KOYA MD SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOLAR R KOYA MD SC",
        "enumeration_date": "2008-08-21",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "KOYA",
        "authorized_official_first_name": "DOLAR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-654-0600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036055698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Divito
• Jennifer Dixon-Johnson, NP
• Marcin Piotr Dobaczewski, MD, PHD
• Kevin Richard Dobrzynski, DN
• Anna Dolan, LPC
• Diane A Doll, MSW, LSW
• Anthony Dombrowski, M.D.
• Irina Domjan, M.D.
• Ashley Donahue, LCPC
• Dana Donahue, LCSW

• Dermatology Physician in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.