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DEERFIELD DERMATOLOGY ASSOCIATES, LTD.
NPI 1225127244
Dermatology in Deerfield, IL

Active since October 11, 2006CLIA 14D0412127 · Certificate of Compliance
707 LAKE COOK RD, SUITE #280, DEERFIELD, IL 60015(847) 480-0004(847) 480-8707 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Deerfield Dermatology Associates, Ltd. NPPES

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

DEERFIELD DERMATOLOGY ASSOCIATES, LTD. (NPI 1225127244) is a healthcare organization registered as a dermatology in Deerfield, Illinois and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through June 17, 2027 and lists Melissa Gottfredsen, Administrator, as its authorized official.

NPPES Registry Identity

NPI1225127244
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDEERFIELD DERMATOLOGY ASSOCIATES, LTD.
Location Address707 LAKE COOK RD, SUITE #280Deerfield, IL 60015-4909
Mailing Address707 Lake Cook Rd, Suite #280Deerfield, IL 60015-4909 · (847) 480-0004 · Fax (847) 480-8707
Phone(847) 480-0004
Fax(847) 480-8707
Organization SubpartNo
Authorized OfficialMelissa GottfredsenAdministrator · (847) 480-0004
Enumeration DateOctober 11, 2006
Last NPPES UpdateNovember 1, 2022
NPPES CertifiedNovember 1, 2022
✔ NPI 1225127244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in IL · 042-618435
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.
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
707 LAKE COOK RD, Deerfield, IL 60015
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deerfield Dermatology Associates, Ltd. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Deerfield Dermatology Associates, Ltd., which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Pathology9
Dermatology4
Nurse Practitioner2

Clinicians, nearest first (15)

Marcia Johnson, M.D.
Dermatology
NPI 1740393495
707 LAKE COOK ROAD SUITE #280
Deerfield, IL 60015
(847) 480-0004
✔ PECOS3.4 mi
Divya Singh Behl, MD
Dermatology
NPI 1932299278
707 LAKE COOK RD STE 280
Deerfield, IL 60015
(847) 480-0004
✔ PECOS✔ Accepts Medicare3.4 mi
Jonathan Dalton, M.D.
Dermatology
NPI 1083727747
707 LAKE COOK ROAD SUITE #280
Deerfield, IL 60015
(847) 480-0004
✔ PECOS✔ Accepts Medicare3.4 mi
Michael Viglione, MD PHD
Pathology
NPI 1073581146
660 NORTH WESTMORELAND LAKE FOREST HOSPITAL
Lake Forest, IL 60045
(847) 234-0049
✔ PECOS8.2 mi
Jie Song, M.D.
Pathology
NPI 1114223351
28100 N ASHLEY CIR STE 106
Libertyville, IL 60048
(847) 737-7719
✔ PECOS✔ Accepts Medicare11 mi
Wenhua Liu
Pathology
NPI 1366591729
28100 N ASHLEY CIR STE 106
Libertyville, IL 60048
(847) 996-1030
✔ PECOS✔ Accepts Medicare11 mi
Rosalind Sharain, M.D.
Pathology
NPI 1306270152
28100 N ASHLEY CIR STE 106
Libertyville, IL 60048
(847) 996-1030
✔ PECOS✔ Accepts Medicare11 mi
Beth Adams, M.D.
Dermatology
NPI 1376751255
5363 W DEVON AVE
Chicago, IL 60646
(773) 312-3880
✔ PECOS✔ Accepts Medicare11 mi
Elizabeth Russeau, APN
Nurse Practitioner
NPI 1508351396
3000 N HALSTED ST STE 320
Chicago, IL 60657
(773) 296-3636
✔ PECOS✔ Accepts Medicare16 mi
Song Zhao, MD
Pathology
NPI 1912944752
8701 BROADWAY
Merrillville, IN 46410
(219) 738-5500
✔ PECOS✔ Accepts Medicare53 mi
Nicole Negus, NP
Nurse Practitioner
NPI 1508671199
1639 N ALPINE RD FL 3
Rockford, IL 61107
(815) 229-9333
✔ PECOS✔ Accepts Medicare65 mi
David Arps, M.D.
Pathology
NPI 1770804312
1500 E MEDICAL CENTER DRIVE 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
Ann Arbor, MI 48109
(800) 862-7284
✔ PECOS✔ Accepts Medicare208 mi
Hongyu Yang, MD
Pathology
NPI 1750377305
3700 WASHINGTON AVE
Evansville, IN 47750
(812) 485-4347
✔ PECOS✔ Accepts Medicare289 mi
Kristen Paral, M.D.
Pathology
NPI 1508177668
40 DUKE MEDICINE CIR
Durham, NC 27710
(919) 684-8815
✔ PECOS✔ Accepts Medicare637 mi
Timothy Tan, D.O.
Pathology
NPI 1205272507
2815 EASTLAKE AVE E STE 240
Seattle, WA 98102
(503) 906-7300
✔ PECOS✔ Accepts Medicare1,722 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 14D0412127

Deerfield Dermatology Ass · Deerfield, IL
Active · expires Jun 17, 2027
CLIA Number14D0412127
Laboratory TypeIndependent
Certificate Effective DateJune 18, 2025
Certificate Expiration DateJune 17, 2027
Laboratory DirectorDivya Singh-Behl MD
Laboratory Phone(847) 480-0004
Laboratory LocationDeerfield Dermatology Ass707 Lake Cook Rd Ste 280, Deerfield, IL 60015
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Deerfield Dermatology Associates, Ltd.'s NPI number?

The NPI number for Deerfield Dermatology Associates, Ltd. is 1225127244. It was assigned to this organization in the NPPES registry on October 11, 2006.

Where is Deerfield Dermatology Associates, Ltd. located?

Deerfield Dermatology Associates, Ltd. is located at 707 Lake Cook Rd Suite #280, Deerfield, IL 60015. The listed phone number is (847) 480-0004.

What is Deerfield Dermatology Associates, Ltd.'s specialty?

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

Is Deerfield Dermatology Associates, Ltd. enrolled in Medicare?

Yes. Deerfield Dermatology Associates, Ltd. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deerfield Dermatology Associates, Ltd.?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 3 Medicare specialties reassign their Medicare billing to Deerfield Dermatology Associates, Ltd.. A 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 the clinician's services. The largest specialties are Pathology (9), Dermatology (4) and Nurse Practitioner (2). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Deerfield Dermatology Associates, Ltd. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 14D0412127) is associated with this NPI, valid through June 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Deerfield Dermatology Associates, Ltd. accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Deerfield Dermatology Associates, Ltd. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deerfield Dermatology Associates, Ltd. was last updated on November 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.