Individual provider Active NPI

Shirley Jean-Baptiste, M.D.

  • Dermatology Physician
  • Orland Park, IL
National Provider Identifier
1932215001
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Practice address
15300 West Ave
Suite 120 South
Orland Park, IL 60462-4600
Phone
(708) 460-7890
Fax
(708) 460-5537
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

15300 West Ave
Suite 120 South
Orland Park, IL 60462-4600

Mailing address

15300 West Ave
Suite 120 South
Orland Park, IL 60462-4600
Phone (708) 460-7890

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
I20100918000096 IL Practitioner - Dermatology 1355466053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Northwestern University Feinberg Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians

Practice addresses (Care Compare)

7123 W Archer Ave
Chicago, IL 60638-2203
Phone (815) 744-8554

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision98
Removal of skin lesions1552
Removal of skin cancer112
Removal or shaving of skin growth342
Skin biopsy526

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Dermatology, SC Dermatology CurrentSince Feb 9, 2018 Accepting new patients

Locations

7123 W Archer Ave
Chicago, IL 60638
Phone (773) 586-4506

1124 Essington Rd
Ste A
Joliet, IL 60435

820 Springer Dr
Lombard, IL 60148
Phone (708) 634-4602

1870 Silver Cross Blvd
Ste 250
New Lenox, IL 60451
Phone (815) 462-3474

15300 West Ave
Ste 120S
Orland Park, IL 60462
Phone (708) 226-2323

10720 165th St
Orland Park, IL 60467
Phone (708) 460-7890

Interoperability endpoints

  • Direct secure messaging: sjeanbaptiste@directaddress.net

Organizations & group practices 1

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932215001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE",
            "address_2": "SUITE 120 SOUTH",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624600",
            "telephone_number": "708-460-7890",
            "fax_number": "708-460-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE",
            "address_2": "SUITE 120 SOUTH",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624600",
            "telephone_number": "708-460-7890",
            "fax_number": "708-460-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN-BAPTISTE",
        "first_name": "SHIRLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.