Individual provider Active NPI

David Paul Van Dam, M.D.

  • Dermatology Physician
  • Barrington, IL
National Provider Identifier
1992877278
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Practice address
738 W Northwest Hwy
Barrington, IL 60010-2640
Phone
(847) 382-5111
Fax
(847) 382-8993
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

738 W Northwest Hwy
Barrington, IL 60010-2640

Mailing address

738 W Northwest Hwy
Barrington, IL 60010-2640
Phone (847) 382-5111

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
I20110125000508 IL Practitioner - Dermatology 4789589508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Indiana University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians

Practice addresses (Care Compare)

738 W Northwest Hwy
Barrington, IL 60010-2640
Phone (815) 744-8554

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision50
Removal of skin lesions940
Removal of nail tissue1-10
Removal or shaving of skin growth15
Skin biopsy248

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-053092ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Dermatology, SC Dermatology CurrentSince Mar 14, 2018 Accepting new patients
Suleman J. Bangash D.O.S.C. Current Accepting new patients
Dermatology Centers, SC Dermatology PastSince Jun 1, 2007 Accepting new patients

Locations

738 W Northwest Hwy
Barrington, IL 60010
Phone (847) 382-5111

183 Heritage Dr
Crystal Lake, IL 60014
Phone (773) 671-0070

1124 Essington Rd
Ste A
Joliet, IL 60435

Interoperability endpoints

  • Direct secure messaging: dvandam@directaddress.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992877278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 W NORTHWEST HWY",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102640",
            "telephone_number": "847-382-5111",
            "fax_number": "847-382-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 W NORTHWEST HWY",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102640",
            "telephone_number": "847-382-5111",
            "fax_number": "847-382-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DAM",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

Verify at the official NPI Registry.