Individual provider Active NPI

Sharon Fang, MD

  • Dermatology Physician
  • Hinsdale, IL
National Provider Identifier
1821063223
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036111111 Issued in IL
Practice address
908 N Elm St
Ste 202
Hinsdale, IL 60521-3635
Phone
(630) 286-5050
NPI assigned
Feb 20, 2006
Sex
Female
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Dermatology LLC 17 clinicians

Practice addresses (Care Compare)

550 E Devon Ave
Suite 200
Itasca, IL 60143-2639
Phone (864) 625-3376

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions331
Removal or shaving of skin growth1-10
Skin biopsy121

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20040901001412 IL Practitioner - Dermatology 8022083963 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036111111ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Dermatology LLC CurrentSince Apr 1, 2021 Accepting new patients
Dupage Medical Group LTD CurrentSince Aug 23, 2004 Accepting new patients
Dupage Medical Group LTD CurrentSince Aug 23, 2004 Accepting new patients
Rush University Medical Group Dermatology Past Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

40 S Clay St
Ste LL10
Hinsdale, IL 60521
Phone (630) 432-6848

908 N Elm St
Ste 202
Hinsdale, IL 60521
Phone (630) 856-8640

550 E Devon Ave
Ste 200
Itasca, IL 60143
Phone (864) 625-3376

3100 Theodore St
Ste 202
Joliet, IL 60435
Phone (708) 354-8881

2135 City Gate Ln
Ste 350
Naperville, IL 60563
Phone (864) 625-3376

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 036111111 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

908 N Elm St
Ste 202
Hinsdale, IL 60521-3635

Mailing address

1860 Paysphere Cir
Chicago, IL 60674-0018
Phone (630) 469-9200

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
036111111MedicaidIL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 20, 2011.

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1821063223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSPHERE CIR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740018",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N ELM ST",
            "address_2": "STE 202",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213635",
            "telephone_number": "630-286-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANG",
        "first_name": "SHARON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036111111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036111111",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.