Daniel Berman, M.D.
Individual provider Active NPI Internal Medicine Physician · Morton Grove, IL
NPI 1255339792 · NPPES record last updated Dec 15, 2021
Key facts
- NPI
- 1255339792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 036113788 (IL)
- Practice address
- 6131 Dempster St
Morton Grove, IL 60053-2953 - Phone
- (847) 967-5010
- Fax
- (847) 967-5147
- NPI assigned
- Jul 8, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Rush Medical College of Rush University, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Advocate Health and Hospitals Corporation
Practice addresses (Care Compare)
214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160
3936 N Milwaukee Ave
Chicago, IL 60641-2703
Phone (773) 736-6125
6131 W Dempster
Morton Grove, IL 60053-2953
Phone (847) 967-5010
Hospital & facility affiliations
- Advocate Home Health Care Serv
- Advocate Lutheran General Hospital
- Northshore University Healthsystem - Evanston Hospital
- Advocate Sherman Hospital
- Advocate Good Shepherd Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050714001032 | IL | Practitioner - Internal Medicine | 7719913227 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036113788 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health & Hospitals Corporation | Current |
Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current |
Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
6540 N Lincoln Ave
Lincolnwood, IL 60712
Phone (847) 779-7700
6131 Dempster St
Morton Grove, IL 60053
Phone (847) 967-5010
Interoperability endpoints
- dberman206551@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036113788 | IL | Yes |
Addresses
Primary practice location
6131 Dempster St
Morton Grove, IL 60053-2953
Mailing address
6131 Dempster St
Morton Grove, IL 60053-2953
Phone (847) 967-5010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01632926 | Other | IL | BLUE CROSS BLUE SHIELD |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dberman206551@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Other providers in Morton Grove, IL
- Alexie Bedoya
- Christian Bello
- Elizabeth Anne Bennett
- Penny Benson
- Kimberly Berland
- Jerry Bernstein
- James O Bertini
- Bethany Homes and Methodist Hospital
- Sofia Bharucha
- Bridget Billig
All providers in Morton Grove, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.