Brian Nickoloff, MD PHD
Brian Nickoloff, MD PHD is a Dermatopathology (Pathology) Physician in Maywood, IL, registered under NPI 1104806272.
Getting there
The practice address on file is 2160 S FIRST AVE (EMS BLDG., RM. 2209), Maywood, IL 60153. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 36092377 | IL | Dermatopathology (Pathology) Physician primary |
This provider holds licence 36092377 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Dermatopathology covers
A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. NUCC Health Care Provider Taxonomy, code 207ZD0900X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1104806272 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jan 17, 2006 |
| Last updated | Mar 4, 2010 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD PHD |
| Practice address |
2160 S FIRST AVE (EMS BLDG., RM. 2209) Maywood, IL 60153 (708) 216-3250 Fax (708) 216-2620 |
| Other identifiers |
36092377
· Medicaid (IL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 0 | 4 | 8 | 0 | 6 | 2 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 0 | 4 | 7 | 0 | 3 | 2 | 5 |
Sum = 48 · next multiple of 10 = 50 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.