Individual provider Active NPI

Russell Herberg

  • Surgery Physician
  • Chicago, IL
National Provider Identifier
1073178240
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036.178604 Issued in IL
Practice address
200 W Superior St Ste 300
Chicago, IL 60654-5563
Phone
(773) 327-6800
Fax
(773) 327-6877
NPI assigned
May 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036.178604 IL Primary

Addresses

Primary practice location

200 W Superior St Ste 300
Chicago, IL 60654-5563

Mailing address

200 W Superior St Ste 300
Chicago, IL 60654-5563
Phone (773) 327-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210727003191 WI Order and Referring Only - General SurgeryPractitioner - General Surgery 9234532334

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 W Superior St
Suite 300
Chicago, IL 60654-5563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: rherberg518182@direct.emplifyhealth.org

NPI Registry JSON

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1073178240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W SUPERIOR ST STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545563",
            "telephone_number": "773-327-6800",
            "fax_number": "773-327-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W SUPERIOR ST STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545563",
            "telephone_number": "773-327-6800",
            "fax_number": "773-327-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERG",
        "first_name": "RUSSELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-03",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036.178604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.