Individual provider Active NPI

Stefanie A Ali, MD

  • Dermatology Physician
  • Elgin, IL
National Provider Identifier
1942473947
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036.137740 Issued in IL
Practice address
1600 N Randall Rd
Suite 400
Elgin, IL 60123
Phone
(815) 744-8554
Fax
(815) 744-3969
NPI assigned
Apr 10, 2008
Last updated
Dec 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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 036.137740 IL Primary

Addresses

Primary practice location

1600 N Randall Rd
Suite 400
Elgin, IL 60123

Mailing address

1600 N Randall Rd
Suite 400
Elgin, IL 60123
Phone (847) 381-8899

Other names 1

  • Dr. Stefanie A Hirano Former name

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address sali@directaddress.net
FHIR URL https://select.nextech-api.com/api
Direct Messaging Address sali237672@direct.myadvocateaurora.org
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20151117000666 IL Practitioner - DermatologyPractitioner - Pathology 2860702198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
Loyola University of Chicago, Stritch School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derick Dermatology PLLCGroup PAC ID 1557366796, 65 clinicians

Practice addresses (Care Compare)

1600 N Randall Rd
Suite 400
Elgin, IL 60123-7805
Phone (847) 381-8899

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions176
Removal or shaving of skin growth1-10
Skin biopsy95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.137740ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Derick Dermatology, PLLC Dermatology Current Accepting new patients
Derick Dermatology, PLLC Dermatology CurrentSince Dec 1, 2018 Accepting new patients
Derick Dermatology, PLLC Dermatology CurrentSince Dec 1, 2018 Accepting new patients
Derick Dermatology, PLLC Dermatology Past Accepting new patients
Derick Dermatology, PLLC Dermatology Past Accepting new patients

Locations

2590 Healing Way
Ste 220
Wesley Chapel, FL 33543
Phone (866) 337-4251

85 W Algonquin Rd
Ste 220
Arlington Heights, IL 60005
Phone (866) 337-4251

1531 S Grove Ave
Unit 101
Barrington, IL 60010

820 W Bartlett Rd
Bartlett, IL 60103

329 Remington Blvd
Ste 225
Bolingbrook, IL 60440
Phone (630) 633-1000

750 W Lake Cook Rd
Ste 270
Buffalo Grove, IL 60089

805 Village Center Dr
Burr Ridge, IL 60527

8501 W Higgins Rd
Ste 100
Chicago, IL 60631

525 E Congress Pkwy
Ste 200
Crystal Lake, IL 60014

1600 N Randall Rd
Ste 400
Elgin, IL 60123

230 Commons Dr
Geneva, IL 60134

950 Technology Way
Ste 150
Libertyville, IL 60048
Phone (847) 926-0106

1025 Red Oak Ln
Ste 250
Lindenhurst, IL 60046

353 Bank Dr
Ste 400
McHenry, IL 60050

263 Shuman Blvd
Ste 125
Naperville, IL 60563

1900 Spring Rd
Ste 210
Oak Brook, IL 60523

1147 South Blvd
Oak Park, IL 60302

14225 S 95th Ave
Ste 418
Orland Park, IL 60462

12736 S Route 59
Unit 102
Plainfield, IL 60585

Interoperability endpoints

  • Direct secure messaging: sali@directaddress.net
  • Direct secure messaging: sali237672@direct.myadvocateaurora.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1942473947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N RANDALL RD",
            "address_2": "SUITE 400",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "60123",
            "telephone_number": "847-381-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N RANDALL RD",
            "address_2": "SUITE 400",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "60123",
            "telephone_number": "815-744-8554",
            "fax_number": "815-744-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "STEFANIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036.137740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sali@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "Derick Dermatology",
            "address_1": "1600 N Randall Rd",
            "address_2": "Suite 400",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://select.nextech-api.com/api",
            "affiliation": "N",
            "endpointDescription": "Derick Dermatology",
            "address_1": "1600 N Randall Rd",
            "address_2": "Suite 400",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sali237672@direct.myadvocateaurora.org",
            "affiliation": "N",
            "endpointDescription": "Advocate Good Shepherd",
            "address_1": "450 W Highway 22",
            "city": "Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600101919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "Advocate Good Shepherd",
            "address_1": "450 W Highway 22",
            "city": "Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600101919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEFANIE",
            "last_name": "HIRANO",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.