Active NPI
Michelle A Pipitone, MD
- MOHS-Micrographic Surgery Physician
- Glen Ellyn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- 036115984
- Practice address
- 885 Roosevelt Rd
Glen Ellyn, IL 60137-6141 - Phone
- (630) 315-6500
- Fax
- (630) 315-6519
- NPI assigned
- May 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 35085157 | OH | |
| Dermatology Physician | 207N00000X | 036115984 | IL | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 036115984 | IL | Primary |
Addresses
Primary practice location
885 Roosevelt Rd
Glen Ellyn, IL 60137-6141
Mailing address
885 Roosevelt Rd
Glen Ellyn, IL 60137-6141
Phone (630) 315-6500
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206147 | Other | IL | MEDICARE PTAN (GROUP) |
| F400254126 | Other | IL | MEDICARE PTAN (INDIVIDUAL) |
| 009900257 | Other | IL | BCBS PROVIDER NUMBER |
| 036115984 | Other | IL | MEDICAID |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Micrographic Dermatologic Surgery (MDS)
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
885 Roosevelt Rd
Glen Ellyn, IL 60137-6141
Phone (630) 545-3760
Hospital & facility affiliations
- Northwestern Medicine Central Dupage Hospital
- Northwestern Medicine Delnor Community Hospital
- Northwestern Medicine Kishwaukee Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.63 of 100
- Quality
- 88.47
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 291 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 190 |
| Removal of skin cancer | 742 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 27 |
| Skin biopsy | 91 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036115984 | IL | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Current | Accepting new patients | |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Christina G Steil Dermatology LTD | Dermatology | Current | Accepting new patients |
| Jordan C. Carqueville, MD LLC | Dermatology | Past | Accepting new patients |
| University Dermatology Consultants, Inc | Dermatology | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
Carol Stream, IL 60122
Phone (630) 933-3300
885 Roosevelt Rd
Glen Ellyn, IL 60137
Phone (630) 545-3760
885 Roosevelt Rd
Ste 301
Glen Ellyn, IL 60137
Phone (630) 515-6500
125 W 2nd St
Hinsdale, IL 60521
Phone (630) 455-0045
2900 Foxfield Rd
St Charles, IL 60174
Phone (630) 377-6500
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
- Dermatology Physician
- Hinsdale, IL
- NPI 1437404951
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
-
- Dermatology Physician
- Chicago, IL
- NPI 1710531330
-
- Dermatology Physician
- Cincinnati, OH
- NPI 1881648236
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- General Acute Care Hospital
- Geneva, IL
- NPI 1407859655
-
- General Acute Care Hospital
- Dekalb, IL
- NPI 1669534517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1992757066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "885 ROOSEVELT RD",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601376141",
"telephone_number": "630-315-6500",
"fax_number": "630-315-6519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 ROOSEVELT RD",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601376141",
"telephone_number": "630-315-6500",
"fax_number": "630-315-6519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIPITONE",
"first_name": "MICHELLE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OH",
"license": "35085157",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IL",
"license": "036115984",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "IL",
"license": "036115984",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (GROUP)",
"identifier": "206147",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (INDIVIDUAL)",
"identifier": "F400254126",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "009900257",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "036115984",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Ellyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.