CAROLINA PUYANA (MD) – Dermatology Physician, NPI 1235766528

CAROLINA PUYANA (MD) is a healthcare provider. based in Chicago, Illinois. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 036162260 (IL). The NPI Number for CAROLINA PUYANA (MD) is 1235766528

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
CAROLINA PUYANA (MD)
NPI
1235766528
Phone
Not provided
Address
7435 W TALCOTT AVE
Enumeration Date
25 March 2020
Last Update Date
9 July 2024

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
8473925440
Graduation Year
2020 (6 years ago)
PAC ID
6002218443
Group Practice PAC ID
8628010550
Professional Enrollment ID
I20240717004290
Address ID
IL600083811RO5301XCTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:6State licenses:1Digital endpointsOther names

703 DERMATOLOGY in IL

Provider Addresses for CAROLINA PUYANA (MD)

  • 7435 W TALCOTT AVE

    CHICAGO, IL 606313707

    Phone:

    Type: Mailing

  • 820 S WOOD ST

    CHICAGO, IL 606124325

    Phone:

    Type: Mailing

  • 808 S WOOD ST RM 380

    CHICAGO, IL 606127300

    Phone: (312) 413-7448

    Type: Location

  • 808 S Wood St Rm 380

    Chicago, IL 606127300

    Phone: (312) 413-7448

    Type: Location

  • 5301 KEYSTONE CT

    ROLLING MEADOWS, IL 600083811

    Phone: (847) 392-5440

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $1,167.

Total Amount is formed as General ($1,167) + Research ($0) + Ownership ($0) = $1,167.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($221).

Total Amount

$1,167

General + Research + Ownership

Payments

41

Total payment records

General Amount

$1,167

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240717004290IDermatologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60631)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628010550View full group profile
NameSpecialtyState
Physician AssistantIL
Family PracticeIL
D E R M A T O L O G YIL
Physician AssistantIL

Reviews

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Frequently asked questions

Can I use this page to confirm CAROLINA PUYANA (MD)'s NPI?
Yes. CAROLINA PUYANA (MD) is listed with NPI 1235766528 in the public NPI dataset.
Is CAROLINA PUYANA (MD) listed as active for patients and plans?
The listing shows CAROLINA PUYANA (MD) as active in the NPI system.
What is CAROLINA PUYANA (MD)'s primary classification?
Dermatology Physician is the headline specialty for CAROLINA PUYANA (MD) here. Clinical services aligned with this taxonomy classification.
Where is CAROLINA PUYANA (MD) based?
CAROLINA PUYANA (MD) is tied to Chicago, Illinois in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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