David J. Mann, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036-125066 Issued in IL

Practice address

1450 Busch Pkwy Ste 145
Buffalo Grove, IL 60089-4541

Phone

(847) 499-5500

Fax

(847) 499-5501

NPI assigned

Apr 9, 2010

Last updated

Dec 6, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

Mayo Medical School, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medovate LLCGroup PAC ID 0941552277, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

Merit-based Incentive Payment System (MIPS)

Final score

83.12 of 100Reported as group

Quality

80.22

Promoting interoperability

100

Improvement activities

40

Cost

63.51

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmann167801@uihealth.direct-ci.com

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.

• Medovate LLC

  • Multi-Specialty Clinic/Center
  • Buffalo Grove, IL
  • NPI 1053816835
  Medicare reassignment Care Compare group NPD Authorized official
• The Board of Trustees of the University of Illinois

  • Anatomic Pathology Physician
  • Chicago, IL
  • NPI 1386863819
  Medicare reassignment NPD
• Skinnovate, LLC

  • Dermatology Physician
  • Munster, IN
  • NPI 1457998692
  NPD Authorized official
• The Board of Trustees of the University of Illinois

  dba Occupational Health Service Institute (OHSI)

  • Occupational Medicine Physician
  • Chicago, IL
  • NPI 1043727571
  NPD
• The Board of Trustees of the University of Illinois

  • Dermatology Physician
  • Chicago, IL
  • NPI 1265651434
  NPD
• Physicians Dermpath Laboratory

  • Dermatopathology Physician
  • Park Ridge, IL
  • NPI 1376866897
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Endeavor Health Clinical Operations

  dba Endeavor Health Evanston Hospital

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1184670549
  Care Compare affiliation

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1912223322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9711 SKOKIE BLVD",
            "address_2": "SUITE J",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771384",
            "telephone_number": "847-675-9711",
            "fax_number": "847-675-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 BUSCH PKWY STE 145",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894541",
            "telephone_number": "847-499-5500",
            "fax_number": "847-499-5501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 N Lake Shore Dr Ste 1425",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606114451",
            "country_code": "US",
            "telephone_number": "847-499-5500",
            "fax_number": "847-499-5501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "DAVID",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-09",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036-125066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Rose Malitz, LCSW
• Jacqueline Sonnenberg Mallinger, MSW
• Molly Maloney, APRN
• Ria Contredas Malonzo
• Gina Mandell, LCSW
• Aneliya Vasileva Manolchev
• Jennifer Manuel, MS, OTR/L
• Paula Angeles Marcial, APRN
• Wendi G Marcus, M.D.
• Margarita Etingen MD S.C.

• Dermatology Physician in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.

Verify at the official NPI Registry.