Individual provider Active NPI

Mary Ann Bender, DPM

  • Foot & Ankle Surgery Podiatrist
  • Oak Park, IL
National Provider Identifier
1184795239
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016004980 Issued in IL
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

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
131370500OtherILDEPT OF LABOR
0001621735OtherILBCBS
P00128997OtherILRAILROAD MEDICARE
016004980MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040428000552 IL Practitioner - Podiatry 0143217570 Reassigns benefits to 1 organization

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
Weil Foot and Ankle Institute LLCGroup PAC ID 4587655105, 56 clinicians

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 Hospital, Oak Park, IL, CCN 140063

Merit-based Incentive Payment System (MIPS)

Final score
88.14 of 100Reported as individual
Quality
74.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions20
Removal of nail tissue440
Removal or shaving of skin growth263
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016004980ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Weil Foot and Ankle Institute LLC Foot & Ankle Surgery CurrentSince Aug 10, 2020 Accepting new patients
Weil Foot and Ankle Institute LLC Current Accepting new patients
Weil Foot and Ankle Institute LLC Foot & Ankle Surgery CurrentSince Aug 10, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.