Individual provider Active NPI

George Michael Lewitt, M.D.

  • Dermatology Physician
  • Northbrook, IL
National Provider Identifier
1902031313
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036133262 Issued in IL
Practice address
400 Skokie Blvd
Suite 475
Northbrook, IL 60062-2816
Phone
(847) 272-4433
NPI assigned
May 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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 036133262 IL Primary

Addresses

Primary practice location

400 Skokie Blvd
Suite 475
Northbrook, IL 60062-2816

Mailing address

400 Skokie Blvd
Suite 475
Northbrook, IL 60062-2816
Phone (847) 272-4433

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
I20130816000482 IL Practitioner - Dermatology 6800038027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Missouri, Kansas City, School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Dermatology Institute, LLCGroup PAC ID 7911043054, 51 clinicians

Practice addresses (Care Compare)

9711 Skokie Blvd
Suite J
Skokie, IL 60077-1384
Phone (847) 675-9711

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions622
Removal or shaving of skin growth28
Skin biopsy184

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036133262ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Dermatology Institute, LLC Current Accepting new patients
Physicians Dermpath Laboratory Past Accepting new patients

Locations

1550 N Northwest Hwy
Ste 300
Park Ridge, IL 60068
Phone (847) 298-1831

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1902031313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SKOKIE BLVD",
            "address_2": "SUITE 475",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622816",
            "telephone_number": "847-272-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SKOKIE BLVD",
            "address_2": "SUITE 475",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622816",
            "telephone_number": "847-272-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWITT",
        "first_name": "GEORGE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-29",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036133262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.