Individual provider Active NPI

Richard Dale Stern, M.D.

  • Internal Medicine Physician
  • Winnetka, IL
National Provider Identifier
1427139765
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036083439 Issued in IL
Practice address
710 Oak St
Winnetka, IL 60093-2522
Phone
(847) 986-6770
Fax
(224) 505-5960
NPI assigned
Oct 17, 2006
Last updated
Feb 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036083439 IL Primary

Addresses

Primary practice location

710 Oak St
Winnetka, IL 60093-2522

Mailing address

710 Oak St
Winnetka, IL 60093-2522
Phone (847) 986-6770

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
I20071020000076 IL Practitioner - Internal Medicine 2961598032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wright State University Boonshoft School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dedication Health LLCGroup PAC ID 7810290699, 8 clinicians

Practice addresses (Care Compare)

710 Oak St
Winnetka, IL 60093-2522
Phone (847) 986-6770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.8 of 100Reported as individual
Quality
63.33
Improvement activities
40
Cost
71.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036083439ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dedication Health LLC Internal Medicine CurrentSince Jan 3, 2017 Accepting new patients

Locations

710 Oak St
Winnetka, IL 60093
Phone (847) 840-1470

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13127/brand/1/csg/1/fhir/r4
  • Direct secure messaging: richard.stern.1@13127.direct.athenahealth.com

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 3

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1427139765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 OAK ST",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932522",
            "telephone_number": "847-986-6770",
            "fax_number": "224-505-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 OAK ST",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932522",
            "telephone_number": "847-986-6770",
            "fax_number": "224-505-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "RICHARD",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036083439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnetka, IL

Sources for this page

Verify at the official NPI Registry.