Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. David Zachary Othman, MD, MHSA

Individual provider Pediatric Dermatology Physician · NPI 1760741938

Dr. David Zachary Othman, MD, MHSA is a Dermatology in Chicago, Illinois. Graduated from Northeastern Ohio University College of Medicine in 2012, 14 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in California and Illinois.

Years since qualifying
14
Trained at
Northeastern Ohio University College of Medicine
Licensed in
CA, IL
In the registry since
2012
Specialties on file
7
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2202 N Halsted St Ste 1
Chicago, IL 60614-3625
Phone: (312) 600-5826
Fax: (872) 260-5008
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3095 Old Conejo Rd, Thousand Oaks, CA 91320-2130 — (888) 367-1850

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence 036144735 (IL)
Pediatric Dermatology Physician Taxonomy 207NP0225X · Licence 036144735 (IL)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 036144735 (IL)
Dermatology Physician Taxonomy 207N00000X · Licence 143497 (CA)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 143497 (CA)
Dermatology Physician Taxonomy 207N00000X · Licence 036144735 (IL)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 143497 (CA)

Record details

NPI number1760741938
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MHSA
Sole proprietorYes
NPI enumeratedMay 9, 2012
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolNORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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