Individual provider Active NPI

Mark Andrew Gerleman, DC

  • Chiropractor
  • Rushville, IL
National Provider Identifier
1316909815
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009331 Issued in IL
Practice address
119 Rodewald Dr
Rushville, IL 62681-9783
Phone
(217) 322-2370
Fax
(217) 322-2874
NPI assigned
Apr 3, 2006
Last updated
Jul 9, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038009331 IL Primary

Addresses

Primary practice location

119 Rodewald Dr
Rushville, IL 62681-9783

Mailing address

119 Rodewald Dr
Rushville, IL 62681-9783
Phone (217) 322-2370

Other identifiers 1

IdentifierTypeStateIssuer
08530076OtherILBLUE CROSS BLUE SHIELD OF

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080606000578 IL Practitioner - Chiropractic 7618047390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles C Gerleman D C P CGroup PAC ID 1153407440, 6 clinicians

Practice addresses (Care Compare)

119 Rodewald Dr
Rushville, IL 62681-9783
Phone (217) 322-2370

504 1St St W
Milan, IL 61264-2716
Phone (309) 787-4944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038009331ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Charles C Gerleman D C P C Chiropractor Current Accepting new patients
Charles C Gerleman D C P C Chiropractor CurrentSince Jul 25, 2024 Accepting new patients
Gerleman Chiropractic & Acupuncture PLLC Chiropractor PastSince May 1, 2001 Accepting new patients

Locations

320 Tenney St
Kewanee, IL 61443
Phone (309) 787-4944

504 1st St W
Milan, IL 61264
Phone (309) 787-4944

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1316909815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 RODEWALD DR",
            "city": "RUSHVILLE",
            "state": "IL",
            "postal_code": "626819783",
            "telephone_number": "217-322-2370",
            "fax_number": "217-322-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 RODEWALD DR",
            "city": "RUSHVILLE",
            "state": "IL",
            "postal_code": "626819783",
            "telephone_number": "217-322-2370",
            "fax_number": "217-322-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERLEMAN",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "08530076",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rushville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.