Individual provider Active NPI

Robert Martin Gerber, DPM

  • Podiatrist
  • Evanston, IL
National Provider Identifier
1063474633
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016003563 Issued in IL
Practice address
800 Austin St Ste 469E
Evanston, IL 60202-3455
Phone
(847) 332-1112
Fax
(847) 332-1114
NPI assigned
Apr 6, 2006
Last updated
Jan 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016003563 IL Primary

Addresses

Primary practice location

800 Austin St Ste 469E
Evanston, IL 60202-3455

Mailing address

800 Austin St Ste 469E
Evanston, IL 60202-3455
Phone (847) 332-1112

Other identifiers 2

IdentifierTypeStateIssuer
016003563MedicaidIL
60001344OtherILBLUE CROSS BLUE SHIELD

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051220000411 IL Practitioner - Podiatry 7719909613 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Evanston, IL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert M GerberGroup PAC ID 8628107232, 2 clinicians

Practice addresses (Care Compare)

800 Austin St
Suite 469E
Evanston, IL 60202-3455
Phone (847) 332-1112

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
84.54
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue159
Removal of skin lesions1-10
Removal of nail tissue697
Removal or shaving of skin growth384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016003563ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert M Gerber Podiatrist CurrentSince Jan 1, 1987 Accepting new patients

Locations

800 Austin St
Ste 469E
Evanston, IL 60202
Phone (570) 574-9757

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1063474633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST STE 469E",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023455",
            "telephone_number": "847-332-1112",
            "fax_number": "847-332-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST STE 469E",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023455",
            "telephone_number": "847-332-1112",
            "fax_number": "847-332-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBER",
        "first_name": "ROBERT",
        "middle_name": "MARTIN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016003563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016003563",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "60001344",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.