Active NPI
Mary Ann Bender, DPM
- Foot & Ankle Surgery Podiatrist
- Oak Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016004980
- Practice address
- 6931 North Ave
Oak Park, IL 60302-1053 - Phone
- (708) 763-0580
- Fax
- (708) 763-0586
- NPI assigned
- Nov 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016004980 | IL | Primary |
Addresses
Primary practice location
6931 North Ave
Oak Park, IL 60302-1053
Mailing address
1660 Feehanville Dr Ste 450
Mount Prospect, IL 60056-6023
Phone (847) 390-7666
Other practice location 1
1611 W Harrison St Ste 510
Chicago, IL 60612-4861
Phone (847) 250-9096
Other practice location 2
610 S Maple Ave Ste 2550
Oak Park, IL 60304-2807
Phone (847) 250-9096
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131370500 | Other | IL | DEPT OF LABOR |
| 0001621735 | Other | IL | BCBS |
| P00128997 | Other | IL | RAILROAD MEDICARE |
| 016004980 | Medicaid | IL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbender@weil.emadirect.md | Direct | |
| Direct Messaging Address | mbender@weil.emadirect.md | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
610 S Maple Ave
Suite 2550
Oak Park, IL 60304-2807
Phone (847) 390-7666
Hospital & facility affiliations
- Rush Oak Park Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.14 of 100
- Quality
- 74.67
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 20 |
| Removal of nail tissue | 440 |
| Removal or shaving of skin growth | 263 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016004980 | IL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weil Foot and Ankle Institute LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Weil Foot and Ankle Institute LLC | Current | Accepting new patients | |
| Weil Foot and Ankle Institute LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Medical Specialists LTD | Past | Accepting new patients | |
| Weil Foot & Ankle Institute | Past | Accepting new patients | |
| Jondelle Jenkins | Foot & Ankle Surgery | Past | Accepting new patients |
| R&R Global Chiropractic Clinic, P.C. | Past | Accepting new patients |
Locations
2101 Waukegan Rd
Ste 203
Bannockburn, IL 60015
Phone 8473907666 ext. 6239
1611 W Harrison St
Ste 510
Chicago, IL 60612
Phone (312) 563-2800
1660 Feehanville Dr
Ste 450
Mt Prospect, IL 60056
Phone (847) 250-9629
1660 Feehanville Dr
Ste 100
Mt Prospect, IL 60056
Phone (847) 627-4924
610 S Maple Ave
Ste 2550
Oak Park, IL 60304
Phone (708) 660-6100
Interoperability endpoints
- mbender@weil.emadirect.md
Organizations & group practices 7
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.
-
- Foot & Ankle Surgery Podiatrist
- Mount Prospect, IL
- NPI 1710965314
-
- Clinical Medical Laboratory
- Mount Prospect, IL
- NPI 1154942837
-
- Rheumatology Physician
- Hoffman Estates, IL
- NPI 1326090499
-
- Chiropractor
- Oak Park, IL
- NPI 1447450242
-
- Foot Surgery Podiatrist
- Des Plaines, IL
- NPI 1821097262
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oak Park, IL
- NPI 1558391706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640563200000",
"number": "1184795239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 FEEHANVILLE DR STE 450",
"city": "MOUNT PROSPECT",
"state": "IL",
"postal_code": "600566023",
"telephone_number": "847-390-7666",
"fax_number": "708-763-0586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6931 NORTH AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603021053",
"telephone_number": "708-763-0580",
"fax_number": "708-763-0586"
}
],
"practiceLocations": [
{
"address_1": "1611 W Harrison St Ste 510",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606124861",
"country_code": "US",
"telephone_number": "847-250-9096",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "610 S Maple Ave Ste 2550",
"address_purpose": "LOCATION",
"city": "Oak Park",
"state": "IL",
"postal_code": "603042807",
"country_code": "US",
"telephone_number": "847-250-9096",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENDER",
"first_name": "MARY ANN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-12",
"last_updated": "2021-12-27",
"certification_date": "2021-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016004980",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "131370500",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0001621735",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00128997",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016004980",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mbender@weil.emadirect.md",
"affiliation": "N",
"endpointDescription": "Weil",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "610 S Maple Ave Ste 2550",
"city": "Oak Park",
"state": "IL",
"country_code": "US",
"postal_code": "603042807",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mbender@weil.emadirect.md",
"affiliation": "N",
"endpointDescription": "Weil",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1611 W Harrison St Ste 510",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606124861",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.