Suleman J Bangash, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036-116375 Issued in IL

Practice address

1750 N Randall Rd
Suite 120
Elgin, IL 60123-7900

Phone

(847) 608-6647

Fax

(847) 608-6674

NPI assigned

Sep 1, 2006

Last updated

May 18, 2015By 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 2

Addresses

Other identifiers 7

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

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Suleman J. Bangash D.O.S.C.Group PAC ID 8729165006, 17 clinicians

Ab Dermatology LLCGroup PAC ID 4789906322, 10 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24526/brand/1/csg/1/fhir/r4

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.

• Ab Dermatology LLC

  • Dermatology Physician
  • Arlington Heights, IL
  • NPI 1285043646
  Medicare reassignment Care Compare group NPD Authorized official
• Suleman J. Bangash D.O.S.C.

  • MOHS-Micrographic Surgery Physician
  • Elgin, IL
  • NPI 1841469830
  Medicare reassignment Care Compare group NPD Authorized official
• Dermatology Physicians & Surgeons, LTD

  dba Van Dam Dermatology

  • Dermatology Physician
  • Barrington, IL
  • NPI 1932271210
  NPD
• Mohs Surgery &Dermatology

  • Specialist
  • Elgin, IL
  • NPI 1356721591
  NPD
• Des Plaines Dermatology, LTD.

  • Dermatology Physician
  • Des Plaines, IL
  • NPI 1902127194
  NPD (past)
• TLC Medical Group, S.C.

  dba TLC Womens Health, S.C./TLC Pediatrics, S.C.

  • Pediatrics Physician
  • St Charles, IL
  • NPI 1649334186
  NPD (past)
• Cindy Hoffman DO PC

  • Dermatology Physician
  • Yorktown Heights, NY
  • NPI 1841284528
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1942302864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 N RANDALL RD",
            "address_2": "SUITE 120",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237900",
            "telephone_number": "847-608-6647",
            "fax_number": "847-608-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 N RANDALL RD",
            "address_2": "SUITE 120",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237900",
            "telephone_number": "847-608-6647",
            "fax_number": "847-608-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGASH",
        "first_name": "SULEMAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036-116375",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS9518",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "K51558",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "F100179678",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "216361",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "K50412",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "216665",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "F400179686",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "160582",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard M Baley, M.D.
• Aarti Bammi, M.S, R.D., L.D., CDE
• Stanislaw A Banas, MD
• Julia Banasik, MA
• Javed Iqbal Bangash, MD
• Eric Banks
• Rebecca Barajas
• Safwan Barakat, M.D.
• Janeth Barba, LCSW
• Joanna Choo Barclay, MD

• Dermatology Physician in Elgin, IL
• Providers in Elgin, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.