ADVANCED DERMATOLOGY AND AESTHETIC MEDICINE
NPI 1275013450
Dermatology in Chicago, IL

Active since August 17, 2018CLIA 14D2308103 · Waiver
850 S WABASH AVE STE 200, CHICAGO, IL 60605(847) 802-9667(408) 715-4968 Get Directions Write a Review

NPPES record last updated: August 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Advanced Dermatology And Aesthetic Medicine NPPES

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

ADVANCED DERMATOLOGY AND AESTHETIC MEDICINE (NPI 1275013450) is a healthcare organization registered as a dermatology in Chicago, Illinois and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through July 21, 2028 and lists Monica Rani, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1275013450
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY AND AESTHETIC MEDICINE
Location Address850 S WABASH AVE STE 200Chicago, IL 60605-3642
Mailing Address351 W Dickens Ave Apt 4eChicago, IL 60614-4615 · (402) 319-4146
Fax(408) 715-4968
Organization SubpartNo
Authorized OfficialMonica RaniMedical Director · (847) 802-9667
Enumeration DateAugust 17, 2018
✔ NPI 1275013450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in IL · 036131459
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.
850 S WABASH AVE STE 200, Chicago, IL 60605

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Advanced Dermatology And Aesthetic Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Advanced Dermatology And Aesthetic Medicine, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Dermatology
NPI 1053552240
1765 N ELSTON AVE SUITE 1600
Chicago, IL 60642
(773) 276-1100
✔ PECOS✔ Accepts Medicare3.6 mi
Dermatology
NPI 1710021100
1051 W RAND RD STE 210
Arlington Heights, IL 60004
(847) 725-8401
✔ PECOS✔ Accepts Medicare26 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 Waiver 14D2308103

Advanced Dermatology & Aesthetic Medicine · Chicago, IL
Active · expires Jul 21, 2028
CLIA Number14D2308103
Laboratory TypePhysician Office
Certificate Effective DateJuly 22, 2026
Certificate Expiration DateJuly 21, 2028
Laboratory DirectorMonica Rani
Laboratory Phone(847) 802-9667
Laboratory LocationAdvanced Dermatology & Aesthetic Medicine850 S Wabash Ave - Ste 200, Chicago, IL 60605
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Advanced Dermatology And Aesthetic Medicine's NPI number?

The NPI number for Advanced Dermatology And Aesthetic Medicine is 1275013450. It was assigned to this organization in the NPPES registry on August 17, 2018.

Where is Advanced Dermatology And Aesthetic Medicine located?

Advanced Dermatology And Aesthetic Medicine is located at 850 S Wabash Ave Ste 200, Chicago, IL 60605. The listed phone number is (847) 802-9667.

What is Advanced Dermatology And Aesthetic Medicine's specialty?

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

Is Advanced Dermatology And Aesthetic Medicine enrolled in Medicare?

Yes. Advanced Dermatology And Aesthetic Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Dermatology And Aesthetic Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Advanced Dermatology And Aesthetic Medicine. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Dermatology And Aesthetic Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2308103) is associated with this NPI, valid through July 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Dermatology And Aesthetic Medicine was last updated on August 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.