Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DERMATOLOGY & SKIN SURGERY ASSOCIATES, SC
NPI 1245342633
Dermatology in Tinley Park, IL

Active since August 31, 2006
7151 183RD ST, TINLEY PARK, IL 60477(708) 478-3530(708) 478-3537 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dermatology & Skin Surgery Associates, Sc NPPES

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

DERMATOLOGY & SKIN SURGERY ASSOCIATES, SC (NPI 1245342633) is a healthcare organization registered as a dermatology in Tinley Park, Illinois and active in the NPI registry since August 2006. The organization lists Donna M Stockton, President, as its authorized official.

NPPES Registry Identity

NPI1245342633
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY & SKIN SURGERY ASSOCIATES, SC
Location Address7151 183RD STTinley Park, IL 60477-3932
Mailing Address7151 183rd StTinley Park, IL 60477-3932 · (708) 478-3530 · Fax (708) 478-3537
Fax(708) 478-3537
Organization SubpartNo
Authorized OfficialDonna M StocktonPresident · (708) 478-3530
Enumeration DateAugust 31, 2006
Last NPPES UpdateSeptember 10, 2026
NPPES CertifiedSeptember 10, 2026
✔ NPI 1245342633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses✔ Licensed in IL · 036073727✔ Licensed in IL · 036109235
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.
7151 183RD ST, Tinley Park, IL 60477

Other Identifiers 1

Medicaid036073727IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dermatology & Skin Surgery Associates, Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dermatology & Skin Surgery Associates, Sc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1851386221
517 MOYE BLVD
Greenville, NC 27834
(252) 744-3109
✔ PECOS✔ Accepts Medicare695 mi

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

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 Dermatology & Skin Surgery Associates, Sc's NPI number?

The NPI number for Dermatology & Skin Surgery Associates, Sc is 1245342633. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Dermatology & Skin Surgery Associates, Sc located?

Dermatology & Skin Surgery Associates, Sc is located at 7151 183rd St, Tinley Park, IL 60477. The listed phone number is (708) 478-3530.

What is Dermatology & Skin Surgery Associates, Sc's specialty?

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

Is Dermatology & Skin Surgery Associates, Sc enrolled in Medicare?

Yes. Dermatology & Skin Surgery Associates, Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatology & Skin Surgery Associates, Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Dermatology & Skin Surgery Associates, Sc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dermatology & Skin Surgery Associates, Sc was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.