Individual provider Active NPI

Conor Patrick Dolehide, M.D.

  • Dermatology Physician
  • New Lenox, IL
National Provider Identifier
1992098735
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036135853 Issued in IL
Practice address
1851 Silver Cross Blvd Ste 150
New Lenox, IL 60451-9629
Phone
(815) 215-8292
Fax
(815) 215-8289
NPI assigned
May 26, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME123479 FL
Dermatopathology Physician 207ND0900X 036135853 IL
Internal Medicine Physician 207R00000X 125:059285 IL
MOHS-Micrographic Surgery Physician 207ND0101X 036135853 IL
Dermatology Physician 207N00000X 036135853 IL Primary

Addresses

Primary practice location

1851 Silver Cross Blvd Ste 150
New Lenox, IL 60451-9629

Mailing address

1851 Silver Cross Blvd Ste 150
New Lenox, IL 60451-9629
Phone (815) 215-8292

Other practice location 1

4400 W 95th St Ste 406
Oak Lawn, IL 60453-7216
Phone (815) 215-8292

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
I20200812000918 IL Practitioner - Dermatology 5597070763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Rush Medical College of Rush University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dolehide Dermatology, S.C.Group PAC ID 2163848854, 3 clinicians

Practice addresses (Care Compare)

4400 W 95TH St
Suite 406
Oak Lawn, IL 60453-7216
Phone (773) 680-4296

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.84 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
62.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision66
Removal of tissue1-10
Removal of skin lesions1404
Removal of skin cancer482
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy860

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME123479FLMDDermatology Physician
036135853ILMDDermatology Physician
125:059285ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dolehide Dermatology, S.C. Dermatology CurrentSince Jul 23, 2020 Accepting new patients

Locations

1851 Silver Cross Blvd
Ste 150
New Lenox, IL 60451
Phone (773) 680-4296

4440 W 95th St
Ste 406
Oak Lawn, IL 60453

4400 W 95th St
Ste 406
Oak Lawn, IL 60453
Phone (708) 636-9611

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1992098735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 SILVER CROSS BLVD STE 150",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519629",
            "telephone_number": "815-215-8292",
            "fax_number": "815-215-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 SILVER CROSS BLVD STE 150",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519629",
            "telephone_number": "815-215-8292",
            "fax_number": "815-215-8289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 W 95th St Ste 406",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604537216",
            "country_code": "US",
            "telephone_number": "815-215-8292",
            "fax_number": "815-215-8289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLEHIDE",
        "first_name": "CONOR",
        "middle_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-26",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME123479",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "IL",
            "license": "036135853",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125:059285",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IL",
            "license": "036135853",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036135853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.