Elizabeth C Bertsch, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

125059166 Issued in IL

Practice address

251 E Huron St
Chicago, IL 60611-2908

Phone

(312) 926-9045

Fax

(312) 926-0560

NPI assigned

Jun 23, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pathology

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ameripath Indianapolis PC 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Witham Health Services Hospital, Lebanon, IN, CCN 150104
• Ascension St Vincent Hospital Hospital, Indianapolis, IN, CCN 150084
• Community Hospital North Hospital, Indianapolis, IN, CCN 150169
• Community Hospital East Hospital, Indianapolis, IN, CCN 150074
• Community Howard Regional Health Inc. Hospital, Kokomo, IN, CCN 150007

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ebertsch224088@ecommunitydirect.com

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.

• Ameripath Indianapolis PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Indianapolis, IN
  • NPI 1942374517

  IN

  Medicare reassignment Care Compare group
• Ameripath Indianapolis PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Memphis, TN
  • NPI 1013759059
  Care Compare group
• Ameripath Indianapolis PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Rolla, MO
  • NPI 1053102004
  Care Compare group
• Ameripath Indianapolis PC

  • Clinical Medical Laboratory
  • Indianapolis, IN
  • NPI 1316919079
  Care Compare group
• Ameripath Indianapolis PC

  • Clinical Medical Laboratory
  • Memphis, TN
  • NPI 1639911688
  Care Compare group
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

• Community Health Network, Inc

  • General Acute Care Hospital
  • Indianapolis, IN
  • NPI 1336119478

  Hospital

  Care Compare affiliation
• Community Health Network, Inc

  • General Acute Care Hospital
  • Indianapolis, IN
  • NPI 1619163854

  Hospital

  Care Compare affiliation
• Community Howard Regional Health, Inc

  • General Acute Care Hospital
  • Kokomo, IN
  • NPI 1902878994

  Hospital

  Care Compare affiliation
• St. Vincent Hospital & Health Care Center, Inc.

  • General Acute Care Hospital
  • Indianapolis, IN
  • NPI 1306898960

  Hospital

  Care Compare affiliation
• St. Vincent Hospital & Health Care Center, Inc.

  • General Acute Care Hospital
  • Avon, IN
  • NPI 1851833230

  Hospital

  Care Compare affiliation
• Witham Memorial Hospital

  • General Acute Care Hospital
  • Lebanon, IN
  • NPI 1699757401

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1366738809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E HURON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112908",
            "telephone_number": "312-926-9045",
            "fax_number": "312-926-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTSCH",
        "first_name": "ELIZABETH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "125059166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bertram Kraft, MD, SC
• Allyssa Rose Bertram, LCPC CADC
• Madeline Bertram, CCC-SLP
• Lakiesha Robin Bertrand
• Marcel Bertsch-Gout, MD
• Marco Bertucci Zoccali, MD
• Dominique Erica Bertucci, DMD
• Michael Bertucci
• Nicole Bertucci
• Susan Helene Bertuglia, MSW, LCSW

• All providers in Chicago, IL
• Anatomic Pathology & Clinical Pathology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.