Individual provider Active NPI

Anthony M Janiga, M.D.

  • Dermatology Physician
  • Naperville, IL
National Provider Identifier
1992884167
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036-077825 Issued in IL
Practice address
1012 95TH St
Suite 1
Naperville, IL 60564-5041
Phone
(630) 236-4315
Fax
(630) 236-4316
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2020

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 036-077825 IL Primary

Addresses

Primary practice location

1012 95TH St
Suite 1
Naperville, IL 60564-5041

Mailing address

1012 95TH St
Naperville, IL 60564-5041
Phone (630) 236-4315

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
I20040301000539 IL Practitioner - Dermatology 9830086354 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Loyola University of Chicago, Stritch School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Dermatology LLCGroup PAC ID 7810256849, 17 clinicians

Practice addresses (Care Compare)

550 E Devon Ave
Suite 200
Itasca, IL 60143-2639
Phone (864) 625-3376

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions149
Removal or shaving of skin growth1-10
Skin biopsy115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-077825ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush-Copley Medical Group CurrentSince Jul 1, 2018 Accepting new patients
Rush-Copley Medical Group, NFP Dermatology CurrentSince Jul 1, 2018 Accepting new patients
Oak Dermatology LLC CurrentSince Jun 13, 2021 Accepting new patients
Des Plaines Dermatology, LTD. Dermatology Past Accepting new patients
Rush University Medical Group Dermatology Past Accepting new patients

Locations

1256 Waterford Dr
Ste 230
Aurora, IL 60504
Phone (630) 499-2404

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

550 E Devon Ave
Ste 200
Itasca, IL 60143
Phone (864) 625-3376

3100 Theodore St
Ste 202
Joliet, IL 60435
Phone (708) 354-8881

1012 95th St
Ste 1
Naperville, IL 60564
Phone (331) 316-9362

1012 95th St
#7001
Naperville, IL 60564
Phone (630) 236-4315

2135 City Gate Ln
Ste 350
Naperville, IL 60563
Phone (864) 625-3376

1012 95th St
Naperville, IL 60564
Phone (630) 428-1503

Interoperability endpoints

  • Direct secure messaging: ajaniga143948@direct.rush.rush-health.com
  • Direct secure messaging: ajaniga@oakderm.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1992884167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 95TH ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645041",
            "telephone_number": "630-236-4315",
            "fax_number": "630-236-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 95TH ST",
            "address_2": "SUITE 1",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645041",
            "telephone_number": "630-236-4315",
            "fax_number": "630-236-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANIGA",
        "first_name": "ANTHONY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036-077825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.