NPIMap

Individual provider Active NPI

Abhimanyu Beri, MD

  • Clinical Cardiac Electrophysiology Physician
  • Kankakee, IL
National Provider Identifier
1336339381
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
036145544 Issued in IL
Practice address
500 N Wall St
Kankakee, IL 60901-2942
Phone
(844) 404-4787
Fax
(815) 936-3243
NPI assigned
Jul 26, 2007
Last updated
Apr 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 4301089914 MI
Clinical Cardiac Electrophysiology Physician 207RC0001X 036145544 IL Primary
Cardiovascular Disease Physician 207RC0000X 4301089914 MI
Cardiovascular Disease Physician 207RC0000X 01098895A IN
Clinical Cardiac Electrophysiology Physician 207RC0001X 01098895A IN
Cardiovascular Disease Physician 207RC0000X 036145544 IL

Addresses

Primary practice location

500 N Wall St
Kankakee, IL 60901-2942

Mailing address

375 N Wall St Ste P420
Kankakee, IL 60901-3406
Phone (815) 939-9400

Other practice location 1

12750 Saint Francis Dr Ste 320
Crown Point, IN 46307-0264
Phone (219) 662-0077

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aberi23706@Direct.riversidehealthcare.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MN, IN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180502000509 IL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 3476727348 Reassigns benefits to 2 organizations
I20251210000760 MN Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3476727348 Reassigns benefits to 1 organization
I20260417001842 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 3476727348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. Luke's Hospital of DuluthGroup PAC ID 7113834839, 409 clinicians
Riverside Health SystemGroup PAC ID 3274434717, 202 clinicians
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

1001 E Superior St
Suite 201
Duluth, MN 55802-2228
Phone (218) 279-6230

105 S 1St St
Willmington, IL 60481-8973
Phone (815) 476-5210

12750 St Francis Dr
Suite 320
Crown Point, IN 46307-0264
Phone (317) 528-4800

23120 S Lagrange Rd
Suite 200
Frankfort, IL 60423-7760
Phone (815) 464-5440

350 N Wall St 4TH Floor
Kankakee, IL 60901-2901
Phone 81593316714592

400 Riverside Dr
Suite 2800
Bourbonnais, IL 60914-5004
Phone (815) 935-1100

500 N Wall St
Kankakee, IL 60901-2942

500 N Wall Ste
Suite 200
Kankakee, IL 60901-2942
Phone (815) 937-1237

5775 E State Route 113
Coal City, IL 60416-7111
Phone (815) 634-0100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036145544ILMDCardiovascular Disease Physician
01098895AINMDCardiovascular Disease Physician
4301089914MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Hospital of Duluth CurrentSince Oct 3, 2025 Accepting new patients
Riverside Health System CurrentSince Apr 30, 2018 Accepting new patients
Riverside Health System CurrentSince Apr 30, 2018 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
St. Luke's Hospital of Duluth CurrentSince Oct 3, 2025 Accepting new patients
St. Luke's Hospital of Duluth Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Nov 18, 2025 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
St. Luke's Hospital of Duluth Past Accepting new patients

Locations

300 Riverside Dr
Ste 2100
Bourbonnais, IL 60914
Phone (815) 928-9666

29980 Network Pl
Chicago, IL 60673

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

375 N Wall St
Ste P420
Kankakee, IL 60901
Phone (815) 939-9400

500 N Wall St
Kankakee, IL 60901
Phone (815) 937-9300

500 N Wall St
Ste C100
Kankakee, IL 60901
Phone (815) 933-4400

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

105 S First St
Wilmington, IL 60481
Phone (815) 476-5210

1001 E Superior St
#L201
Duluth, MN 55802
Phone (218) 249-3057

1001 E Superior St
Ste 201
Duluth, MN 55802
Phone (218) 249-3057

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

Interoperability endpoints

  • Direct secure messaging: aberi23706@direct.riversidehealthcare.net
  • Direct secure messaging: aberi439123@direct.aspirus.org

Organizations & group practices 10

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.

Hospital & facility affiliations 30

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1336339381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 N WALL ST STE P420",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013406",
            "telephone_number": "815-939-9400",
            "fax_number": "815-939-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N WALL ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012942",
            "telephone_number": "844-404-4787",
            "fax_number": "815-936-3243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12750 Saint Francis Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463070264",
            "country_code": "US",
            "telephone_number": "219-662-0077",
            "fax_number": "219-618-6701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERI",
        "first_name": "ABHIMANYU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MI",
            "license": "4301089914",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "IL",
            "license": "036145544",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301089914",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01098895A",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "IN",
            "license": "01098895A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036145544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aberi23706@Direct.riversidehealthcare.net",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "500 N Wall St",
            "city": "Kankakee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609012942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

Verify at the official NPI Registry.