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CENTER FOR DERMATOLOGY AND AESTHETIC MEDICINE, LLC
NPI 1447601414
Dermatology in Chicago, IL

Active since June 30, 2016CLIA 14D2122923 · Waiver
755 N WELLS ST, SUITE 201, CHICAGO, IL 60654(312) 380-6747(312) 348-7229 Get Directions Write a Review

NPPES record last updated: June 30, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Center For Dermatology And Aesthetic Medicine, Llc NPPES

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

CENTER FOR DERMATOLOGY AND AESTHETIC MEDICINE, LLC (NPI 1447601414) is a healthcare organization registered as a dermatology in Chicago, Illinois and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through December 8, 2026 and lists Faiyaaz Ahmad Kalimullah, Director, as its authorized official.

NPPES Registry Identity

NPI1447601414
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCENTER FOR DERMATOLOGY AND AESTHETIC MEDICINE, LLC
Location Address755 N WELLS ST, SUITE 201Chicago, IL 60654-3520
Mailing Address755 N Wells St, Suite 201Chicago, IL 60654-3520 · (312) 380-6747 · Fax (312) 348-7229
Phone(312) 380-6747
Fax(312) 348-7229
Organization SubpartNo
Authorized OfficialFaiyaaz Ahmad KalimullahDirector · (312) 380-6747
Enumeration DateJune 30, 2016
✔ NPI 1447601414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in IL · 036139965
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.
755 N WELLS ST, Chicago, IL 60654
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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)

Center For Dermatology And Aesthetic Medicine, Llc 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 Center For Dermatology And Aesthetic Medicine, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Kevin Cavanaugh, MD
Dermatology
NPI 1184938284
755 N WELLS, SUITE 201
Chicago, IL 60654
(312) 280-6747
✔ PECOS✔ Accepts MedicareSame address
Faiyaaz Kalimullah, M.D.
Dermatology
NPI 1063729895
755 N WELLS ST SUITE 201
Chicago, IL 60654
(312) 380-6747
✔ PECOS✔ Accepts MedicareSame address

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 14D2122923

Center For Dermatology & Aesthetic Medicine LLC · Chicago, IL
Active · expires Dec 8, 2026
CLIA Number14D2122923
Laboratory TypePhysician Office
Certificate Effective DateDecember 9, 2024
Certificate Expiration DateDecember 8, 2026
Laboratory DirectorFaiyaaz A. Kalimullah MD
Laboratory Phone(312) 380-6747
Laboratory LocationCenter For Dermatology & Aesthetic Medicine LLC755 N Wells St, Ste 201, Chicago, IL 60654
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 Center For Dermatology And Aesthetic Medicine, LLC's NPI number?

The NPI number for Center For Dermatology And Aesthetic Medicine, LLC is 1447601414. It was assigned to this organization in the NPPES registry on June 30, 2016.

Where is Center For Dermatology And Aesthetic Medicine, LLC located?

Center For Dermatology And Aesthetic Medicine, LLC is located at 755 N Wells St Suite 201, Chicago, IL 60654. The listed phone number is (312) 380-6747.

What is Center For Dermatology And Aesthetic Medicine, LLC's specialty?

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

Is Center For Dermatology And Aesthetic Medicine, LLC enrolled in Medicare?

Yes. Center For Dermatology And Aesthetic Medicine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Center For Dermatology And Aesthetic Medicine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Center For Dermatology And Aesthetic Medicine, LLC. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Center For Dermatology And Aesthetic Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2122923) is associated with this NPI, valid through December 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Center For Dermatology And Aesthetic Medicine, LLC was last updated on June 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.