Individual provider Active NPI

Diane Flershem, M.D.

  • Internal Medicine Physician
  • Arlington Heights, IL
National Provider Identifier
1447205869
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036095157 Issued in IL
Practice address
3405 N Arlington Heights Rd
Arlington Heights, IL 60004-1536
Phone
(847) 577-9300
Fax
(847) 577-9318
NPI assigned
May 24, 2006
Last updated
Feb 25, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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 036095157 IL Primary

Addresses

Primary practice location

3405 N Arlington Heights Rd
Arlington Heights, IL 60004-1536

Mailing address

3405 N Arlington Heights Rd
Arlington Heights, IL 60004-1536
Phone (847) 577-9300

Other identifiers 1

IdentifierTypeStateIssuer
036095157MedicaidIL

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
I20101022001152 IL Practitioner - Internal Medicine 0941199871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rush Medical College of Rush University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riverside Medical S CGroup PAC ID 4688562606, 8 clinicians

Practice addresses (Care Compare)

3405 N Arlington Heights Rd
Arlington Heights, IL 60004-1536
Phone (847) 577-9300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.47 of 100Reported as individual
Quality
94.54
Promoting interoperability
100
Improvement activities
40
Cost
77.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036095157ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Medical, S.C. Internal Medicine CurrentSince Feb 1, 1998 Accepting new patients

Locations

3405 N Arlington Heights Rd
Arlington Heights, IL 60004
Phone (847) 577-9300

3405 N Arlington Heights Rd
#0
Arlington Heights, IL 60004

3405 N Arlington Heights Rd
#R
Arlington Heights, IL 60004
Phone (312) 577-9300

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 7

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1447205869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 N ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041536",
            "telephone_number": "847-577-9300",
            "fax_number": "847-577-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 N ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041536",
            "telephone_number": "847-577-9300",
            "fax_number": "847-577-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLERSHEM",
        "first_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036095157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095157",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.