Individual provider Active NPI

Carl M Silberman, MD

  • Specialist
  • Libertyville, IL
National Provider Identifier
1407906696
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036056039 Issued in IL
Practice address
1870 W Winchester Rd Ste 112
Libertyville, IL 60048-5365
Phone
(847) 224-0165
Fax
(847) 367-7345
NPI assigned
Jan 11, 2007
Last updated
Apr 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036056039 IL Primary

Addresses

Primary practice location

1870 W Winchester Rd Ste 112
Libertyville, IL 60048-5365

Mailing address

1870 W Winchester Rd Ste 112
Libertyville, IL 60048-5365
Phone (847) 224-0165

Other identifiers 1

IdentifierTypeStateIssuer
036056039MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address csilberman237807@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20080623000176 IL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 6709957574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Jefferson Medical College of Thomas Jefferson University, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Deerbrook Medical AssociatesGroup PAC ID 5597717710, 3 clinicians

Practice addresses (Care Compare)

1870 W Winchester Rd
Suite 112
Libertyville, IL 60048-5365
Phone (847) 367-7340

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036056039ILMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Deerbrook Medical Associates CurrentSince Feb 1, 2011 Accepting new patients

Locations

1870 W Winchester Rd
Ste 112
Libertyville, IL 60048
Phone (847) 367-7340

565 Lakeview Pkwy
Vernon Hills, IL 60061
Phone (847) 367-7340

565 Lakeview Pkwy
Ste 116
Vernon Hills, IL 60061
Phone (847) 367-7340

Interoperability endpoints

  • Direct secure messaging: csilberman237807@direct.myadvocateaurora.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/EEJACA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EEJACA/Endpoint/EEJACA

Organizations & group practices 1

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1407906696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 W WINCHESTER RD STE 112",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485365",
            "telephone_number": "847-224-0165",
            "fax_number": "815-462-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 W WINCHESTER RD STE 112",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485365",
            "telephone_number": "847-224-0165",
            "fax_number": "847-367-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILBERMAN",
        "first_name": "CARL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036056039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036056039",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csilberman237807@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "565 Lakeview Pkwy Ste 116",
            "city": "Vernon Hills",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600611822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "565 Lakeview Pkwy Ste 116",
            "city": "Vernon Hills",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600611822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.