Mark Joseph Been, M.D.

Individual provider Active NPI Otolaryngology Physician · Geneva, IL

NPI 1285808246 · NPPES record last updated Aug 27, 2018

Key facts

NPI
1285808246
Entity type
Individual (NPI type 1)
Primary specialty
Otolaryngology Physician 207Y00000X
License
036.136184 (IL)
Practice address
2800 Keslinger Rd Ste 110
Geneva, IL 60134
Phone
(630) 492-1226
Fax
(630) 485-6943
NPI assigned
Apr 21, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Plastic and Reconstructive Surgery
Also: Otolaryngology
Education
University of Wisconsin School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Been Facial Plastics SC (3 clinicians)

Practice addresses (Care Compare)

2800 Keslinger Rd
Suite 110
Geneva, IL 60134-3751
Phone (630) 492-1226

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

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 IDStateProvider typePAC IDDetails
I20141124000385 IL Practitioner - Plastic and Reconstructive Surgery
Practitioner - Otolaryngology
1850613183 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.136184ILMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Been Facial Plastics SC Current
since Aug 1, 2018
Accepting new patients
KSB Medical Group, Inc. Otolaryngology Past Accepting new patients

Locations

2800 Keslinger Rd
Ste 110
Geneva, IL 60134
Phone (224) 633-9309

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X FB3752993 KY
Student in an Organized Health Care Education/Training Program 390200000X
Otolaryngology Physician 207Y00000X 036.136184 IL Yes

Addresses

Primary practice location

2800 Keslinger Rd Ste 110
Geneva, IL 60134

Mailing address

2800 Keslinger Rd Ste 110
Geneva, IL 60134-3751
Phone (630) 492-1226

Other practice location 1

215 E 1st St Ste 305
Dixon, IL 61021-3190
Phone (815) 285-5603

Other identifiers

IdentifierTypeStateIssuer
F400463517OtherILMEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 27, 2018.

{
    "created_epoch": "1208736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1285808246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 KESLINGER RD STE 110",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343751",
            "telephone_number": "630-492-1226",
            "fax_number": "630-485-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 KESLINGER RD STE 110",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "60134",
            "telephone_number": "630-492-1226",
            "fax_number": "630-485-6943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 E 1st St Ste 305",
            "address_purpose": "LOCATION",
            "city": "Dixon",
            "state": "IL",
            "postal_code": "610213190",
            "country_code": "US",
            "telephone_number": "815-285-5603",
            "fax_number": "815-285-5813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEEN",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-21",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "FB3752993",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036.136184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "F400463517",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

All providers in Geneva, IL · Otolaryngology Physician in Illinois

Sources for this page

Verify at the official NPI Registry.