Individual provider Active NPI

Daniel Joseph Bierbaum Howard, M.D.

  • Emergency Medicine Physician
  • Evergreen Park, IL
National Provider Identifier
1396193322
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036.149403 Issued in IL
Practice address
2800 95TH St
Emergency Department
Evergreen Park, IL 60805
Phone
(708) 422-6200
NPI assigned
May 31, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 036.149403 IL Primary
Emergency Medicine Physician 207P00000X 125-069340 IL

Addresses

Primary practice location

2800 95TH St
Emergency Department
Evergreen Park, IL 60805

Mailing address

2800 95TH St
Emergency Medicine Department
Evergreen Park, IL 60805
Phone (773) 792-7921

Other practice location 1

7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (773) 792-7921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191010001903 IL Practitioner - Emergency Medicine 1254619745 Reassigns benefits to 1 organization
I20230704000302 CO Practitioner - Emergency Medicine 1254619745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as group
Quality
91.15
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.149403ILMDEmergency Medicine Physician
125-069340ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Humboldt Park Health Emergency Medicine, LLC Emergency Medicine CurrentSince Sep 28, 2021 Accepting new patients
Usacs of Colorado, Inc Emergency Medicine Current Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince May 7, 2023 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince May 7, 2023 Accepting new patients
Mea Chicago PC Emergency Medicine CurrentSince Nov 27, 2019 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince May 7, 2023 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. Emergency Medicine CurrentSince May 7, 2023 Accepting new patients

Locations

2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333

10860 New Allegiance Dr
Colorado Springs, CO 80921
Phone (719) 757-7000

6001 E Woodmen Rd
Colorado Springs, CO 80923
Phone (719) 571-1000

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1396193322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 95TH ST",
            "address_2": "EMERGENCY MEDICINE DEPARTMENT",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "60805",
            "telephone_number": "773-792-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 95TH ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "60805",
            "telephone_number": "708-422-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7435 W Talcott Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606313707",
            "country_code": "US",
            "telephone_number": "773-792-7921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH BIERBAUM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.149403",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "125-069340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

Verify at the official NPI Registry.