STEPHANIE WANG
NPI 1215321468
Dermatology in Chicago, IL

Active since March 26, 2015PECOS Enrolled
820 S DAMEN AVE, CHICAGO, IL 60612(312) 569-8387 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stephanie Wang NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE WANG (NPI 1215321468) is an individual dermatology provider in Chicago, Illinois, licensed in Illinois (336.111507) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215321468
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameSTEPHANIE WANG
Location Address820 S DAMEN AVEChicago, IL 60612-3728
Mailing Address820 S Damen AveChicago, IL 60612-3728
Sole ProprietorYes
Enumeration DateMarch 26, 2015
Last NPPES UpdateMay 6, 2024
NPPES CertifiedMay 6, 2024
✔ NPI 1215321468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in IL · 336.111507
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
820 S DAMEN AVE, Chicago, IL 60612

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Wang is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Wang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dermatology
8110 CASS AVE
Darien, IL 60561
  • Reassigned Medicare billing, Illinois enrollment
  • 6 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
820 S DAMEN AVE, PHARMACY (119)
CHICAGO, IL 60612
Psychologist (Clinical)
820 S DAMEN AVE
CHICAGO, IL 60612
Social Worker (Clinical)
820 S DAMEN AVE
CHICAGO, IL 60612
Social Worker (Clinical)
820 S DAMEN AVE, ROOM 8456
CHICAGO, IL 60612
Nuclear Medicine
820 S DAMEN AVE
CHICAGO, IL 60612
Military Hospital (Military General Acute Care Hospital)
820 S DAMEN AVE
CHICAGO, IL 60612
Psychiatry & Neurology (Psychiatry)
820 S DAMEN AVE, MAILCODE 116A
CHICAGO, IL 60612
Pharmacist (Pharmacotherapy)
820 S DAMEN AVE
CHICAGO, IL 60612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Wang's NPI number?

The NPI number for Stephanie Wang is 1215321468. It was assigned to this individual provider in the NPPES registry on March 26, 2015.

Where is Stephanie Wang located?

Stephanie Wang practices at 820 S Damen Ave, Chicago, IL 60612. The listed phone number is (312) 569-8387.

What is Stephanie Wang's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Stephanie Wang enrolled in Medicare?

Yes. Stephanie Wang is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stephanie Wang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Wang reassigns Medicare benefits to University Dermatology And Vein Clinic LLC (Darien, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Wang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stephanie Wang was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.