Individual provider Active NPI

Kevin Berman, MD

  • Surgery Physician
  • Chicago, IL
National Provider Identifier
1134426539
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
271933 Issued in NY
Practice address
515 S Maplewood Ave
4 North
Chicago, IL 60612-3471
Phone
(303) 475-4717
NPI assigned
Feb 21, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 271933 NY Primary
Surgery Physician 208600000X 036.126086 IL
Surgery Physician 208600000X 042.0012418 VT

Addresses

Primary practice location

515 S Maplewood Ave
4 North
Chicago, IL 60612-3471

Mailing address

515 S Maplewood Ave
4 North
Chicago, IL 60612-3471
Phone (303) 475-4717

Other practice location 1

25 Ridgewood Rd
Springfield, VT 05156-3057
Phone (802) 885-2151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120830000700 VT Practitioner - General Surgery 0547417289 Reassigns benefits to 2 organizations
I20140819001988 NY Practitioner - General Surgery 0547417289 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
State University of New York at Buffalo School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springfield Hospital Inc.Group PAC ID 6507760337, 63 clinicians
Mount St. Marys Hospital of Niagara FallsGroup PAC ID 4082523790, 89 clinicians

Practice addresses (Care Compare)

25 Ridgewood Rd
Springfield, VT 05156-3050
Phone (802) 885-2151

5300 Military Rd
Lewiston, NY 14092-1903
Phone (716) 297-4800

5875 S Transit Rd
Lockport, NY 14094-6340
Phone (716) 514-5700

6001 Shimer Dr
Lockport, NY 14094-6412
Phone (716) 342-3026

Hospital & facility affiliations

  • Springfield Hospital Hospital, Springfield, VT, CCN 471306
  • Mount St. Mary'S Hospital & Health Center Hospital, Lewiston, NY, CCN 330188
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy19
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux22
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.126086ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital of Buffalo CurrentSince Jul 30, 2023 Accepting new patients
Trinity Medical Wny PC CurrentSince Jan 17, 2023 Accepting new patients
Trinity Medical Wny PC Surgery CurrentSince Jan 17, 2023 Accepting new patients
Kenmore Mercy Hospital CurrentSince Jul 30, 2023 Accepting new patients
Kenmore Mercy Hospital CurrentSince Jul 30, 2023 Accepting new patients
Springfield Hospital CurrentSince Dec 29, 2025 Accepting new patients
Mount St. Mary'S Hospital of Niagara Falls CurrentSince Aug 1, 2014 Accepting new patients
Mount St. Mary'S Hospital of Niagara Falls Current Accepting new patients
Springfield Hospital .Inc CurrentSince Nov 1, 2023 Accepting new patients
Sisters of Charity Hospital of Buffalo New York Past Accepting new patients
Springfield Hospital Inc Surgery Past Accepting new patients
Mount St. Mary'S Hospital of Niagara Falls Past Accepting new patients
Kenmore Mercy Hospital Past Accepting new patients

Locations

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

5320 Military Rd
Ste 106
Lewiston, NY 14092
Phone (716) 298-5433

5320 Military Rd
Ste 107
Lewiston, NY 14092
Phone (716) 297-1701

6001 Shimer Dr
Lockport, NY 14094
Phone (716) 419-0400

5875 S Transit Rd
Lockport, NY 14094
Phone (716) 433-7730

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

252 River St
Springfield, VT 05156
Phone (802) 885-3525

25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593

Interoperability endpoints

  • Direct secure messaging: kberman20390@direct.chsbuffalo.org
  • Direct secure messaging: kevinberman@nms.allscriptsdirect.net

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1134426539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S MAPLEWOOD AVE",
            "address_2": "4 NORTH",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123471",
            "telephone_number": "303-475-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S MAPLEWOOD AVE",
            "address_2": "4 NORTH",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123471",
            "telephone_number": "303-475-4717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Ridgewood Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VT",
            "postal_code": "051563057",
            "country_code": "US",
            "telephone_number": "802-885-2151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "KEVIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-21",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "271933",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036.126086",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VT",
            "license": "042.0012418",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.