Individual provider Active NPI

Aaron Andrew Dwan, MD

  • Dermatology Physician
  • Saint Peters, MO
National Provider Identifier
1871152967
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2023028787 Issued in MO
Practice address
5700 Mexico Rd Ste 14
Saint Peters, MO 63376-1667
Phone
(636) 277-0371
Fax
(636) 447-4161
NPI assigned
Jun 11, 2019
Last updated
Aug 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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 2023028787 MO Primary

Addresses

Primary practice location

5700 Mexico Rd Ste 14
Saint Peters, MO 63376-1667

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

130 Richardson Xing Ste 130
Arnold, MO 63010-6023
Phone (636) 489-4770

Other practice location 2

5721 Osage Beach Pkwy Ste 100
Osage Beach, MO 65065-3030
Phone (573) 302-4696

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Aaron.Dwan@forefrontdermatology.emadirect.md
Direct Messaging Address Aaron.Dwan@forefrontdermatology.emadirect.md
Direct Messaging Address Aaron.Dwan@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20230824003634 MO Practitioner - Dermatology 4587998067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Missouri, Columbia School of Medicine, 2019
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)

5721 Osage Beach Pkwy
Suite 100
Osage Beach, MO 65065-3030
Phone (573) 302-4696

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) excision49
Removal of skin lesions1205
Skin biopsy225

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023028787MOMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince Aug 4, 2023 Accepting new patients
St. Louis Dermatology and Surgery Center, PC Current Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Aug 4, 2023 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

130 Richardson Xing
Ste 130
Arnold, MO 63010
Phone (636) 489-4770

1223 Maple St
Farmington, MO 63640
Phone (573) 760-0091

5721 Osage Beach Pkwy
Ste 100
Osage Beach, MO 65065
Phone (573) 302-4696

12855 N 40 Dr
Ste 180
Saint Louis, MO 63141
Phone (314) 878-5599

5700 Mexico Rd
Ste 14
Saint Peters, MO 63376
Phone (636) 277-0371

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

Interoperability endpoints

  • Direct secure messaging: aaron.dwan@forefrontdermatology.emadirect.md

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1871152967",
    "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": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 MEXICO RD STE 14",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761667",
            "telephone_number": "636-277-0371",
            "fax_number": "636-447-4161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Richardson Xing Ste 130",
            "address_purpose": "LOCATION",
            "city": "Arnold",
            "state": "MO",
            "postal_code": "630106023",
            "country_code": "US",
            "telephone_number": "636-489-4770",
            "fax_number": "636-489-4880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5721 Osage Beach Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Osage Beach",
            "state": "MO",
            "postal_code": "650653030",
            "country_code": "US",
            "telephone_number": "573-302-4696",
            "fax_number": "573-302-4698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWAN",
        "first_name": "AARON",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-11",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2023028787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Aaron.Dwan@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "130 Richardson Xing Ste 130",
            "city": "Arnold",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630106023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Aaron.Dwan@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "5700 Mexico Rd Ste 14",
            "city": "Saint Peters",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633761667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Aaron.Dwan@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "5721 Osage Beach Pkwy Ste 100",
            "city": "Osage Beach",
            "state": "MO",
            "country_code": "US",
            "postal_code": "650653030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.