Individual provider Active NPI

Andrew A Berman, M.D.

  • Specialist
  • Skokie, IL
National Provider Identifier
1447240270
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036-064706 Issued in IL
Practice address
9630 Kenton Ave
Skokie, IL 60076-1216
Phone
(847) 677-1631
Fax
(847) 677-1406
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036-064706 IL Primary

Addresses

Primary practice location

9630 Kenton Ave
Skokie, IL 60076-1216

Mailing address

9630 Kenton Ave
Skokie, IL 60076-1216
Phone (847) 677-1631

Other identifiers 2

IdentifierTypeStateIssuer
180014686OtherILRAILROAD MEDICARE
36-064706MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aberman252319@direct.mtadvocateaurora.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
I20091208000044 IL Practitioner - Ophthalmology 9739137027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loyola University of Chicago, Stritch School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care LTDGroup PAC ID 9234187527, 4 clinicians

Practice addresses (Care Compare)

9630 Kenton Ave
Skokie, IL 60076-1216
Phone (847) 677-1631

Hospital & facility affiliations

  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
93.81
Promoting interoperability
100
Improvement activities
40
Cost
70

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-064706ILMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care LTD Specialist CurrentSince Oct 1, 1989 Accepting new patients
Eye Care LTD PastSince Apr 18, 2000 Accepting new patients

Locations

1971 2nd St
Ste 500
Highland Park, IL 60035
Phone (847) 432-3365

9630 Kenton Ave
Skokie, IL 60076
Phone (847) 423-2191

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1447240270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9630 KENTON AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761216",
            "telephone_number": "847-677-1631",
            "fax_number": "847-677-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9630 KENTON AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761216",
            "telephone_number": "847-677-1631",
            "fax_number": "847-677-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "ANDREW",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036-064706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180014686",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36-064706",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aberman252319@direct.mtadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9630 Kenton Ave",
            "city": "Skokie",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600761216",
            "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": "9630 Kenton Ave",
            "city": "Skokie",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600761216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.