Individual provider Active NPI

Tushar S Dabade, M.D.

  • Dermatology Physician
  • Lincolnshire, IL
National Provider Identifier
1942432109
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036.138576 Issued in IL
Practice address
275 Parkway Dr Ste 521
Lincolnshire, IL 60069-4344
Phone
(847) 459-6400
Fax
(847) 459-4610
NPI assigned
Aug 20, 2009
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 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 036.138576 IL Primary

Addresses

Primary practice location

275 Parkway Dr Ste 521
Lincolnshire, IL 60069-4344

Mailing address

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

Other practice location 1

716 Vernon Ave
Glencoe, IL 60022-1531
Phone (847) 459-6400

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
I20150911001211 IL Practitioner - Dermatology 3274840038 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Mayo Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loyola University Medical CenterGroup PAC ID 3779488903, 917 clinicians
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-8372

275 Pkwy Dr
Suite 521
Lincolnshire, IL 60069-4344
Phone (847) 459-6400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision201
Removal of skin lesions390
Removal of skin cancer424
Removal or shaving of skin growth42
Skin biopsy179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.138576ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology Current Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Dec 1, 2023 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Dec 1, 2023 Accepting new patients
Loyola University Medical Center CurrentSince Dec 17, 2023 Accepting new patients
Loyola University Medical Center CurrentSince Dec 17, 2023 Accepting new patients
Tripti Burt Plastic Surgery SC CurrentSince Apr 1, 2018 Accepting new patients

Locations

2051 Plainfield Rd
Crest Hill, IL 60403
Phone (815) 730-9900

716 Vernon Ave
Glencoe, IL 60022
Phone (847) 459-6400

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

275 Parkway Dr
Ste 521
Lincolnshire, IL 60069
Phone (847) 459-6400

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

24600 W 127th St
Bldg B
Plainfield, IL 60585
Phone (815) 267-8830

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

Interoperability endpoints

  • Direct secure messaging: tdabade@directaddress.net

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1942432109",
    "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": "275 PARKWAY DR STE 521",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600694344",
            "telephone_number": "847-459-6400",
            "fax_number": "847-459-4610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "716 Vernon Ave",
            "address_purpose": "LOCATION",
            "city": "Glencoe",
            "state": "IL",
            "postal_code": "600221531",
            "country_code": "US",
            "telephone_number": "847-459-6400",
            "fax_number": "847-461-2025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DABADE",
        "first_name": "TUSHAR",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036.138576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnshire, IL

Sources for this page

Verify at the official NPI Registry.