Active NPI
Mark L Goode, M.D.
- Pulmonary Disease Physician
- Berwyn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 036089656
- Practice address
- 3231 Euclid Ave
Suite 405
Berwyn, IL 60402-3471 - Phone
- (708) 783-2644
- Fax
- (708) 783-0514
- NPI assigned
- Aug 15, 2006
- Last updated
- Dec 13, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036089656 | IL | |
| Pulmonary Disease Physician | 207RP1001X | 036089656 | IL | Primary |
Addresses
Primary practice location
3231 Euclid Ave
Suite 405
Berwyn, IL 60402-3471
Mailing address
3231 Euclid Ave
Suite 405
Berwyn, IL 60402-3471
Phone (708) 783-2644
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036089656 | Medicaid | IL | |
| 110205012 | Other | IL | RAILROAD MEDICARE PIN |
| 36089656 | Other | IL | STATE OF ILLINOIS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5601 S County Line Rd
Hinsdale, IL 60521-4875
Phone (630) 286-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RML Health Providers Limited Partnership | Current | Accepting new patients |
Locations
3316 Payshere Cir
Chicago, IL 60674
3435 W Van Buren St
Chicago, IL 60624
Phone (773) 265-7700
5601 S County Line Rd
Hinsdale, IL 60521
Phone (630) 286-4000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba RML Specialty Hospital
- Long Term Care Hospital
- Hinsdale, IL
- NPI 1952304826
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba RML Specialty Hospital
- Long Term Care Hospital
- Hinsdale, IL
- NPI 1952304826
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323734400000",
"number": "1023121167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3231 EUCLID AVE",
"address_2": "SUITE 405",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023471",
"telephone_number": "708-783-2644",
"fax_number": "708-783-3973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3231 EUCLID AVE",
"address_2": "SUITE 405",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023471",
"telephone_number": "708-783-2644",
"fax_number": "708-783-0514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODE",
"first_name": "MARK",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2011-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IL",
"license": "036089656",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036089656",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036089656",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "110205012",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF ILLINOIS LICENSE",
"identifier": "36089656",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berwyn, IL
- Elvialuz Gonzalez
- Mary H Gonzalez, LCSW
- Mayra Gonzalez, M.D.
- Sophie Marie Gonzalez
- Veronica Gonzalez
- Charles B. Goodman, O.D.
- Thomas J Gorney, DPT
- Gottlieb Community Health Services Corporation
- Gottlieb Community Health Services Corporation
- Gottlieb Community Health Services Corporation (MacNeal Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.