Active NPI
Kim Natasha Berg, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 125.054944
- Practice address
- 645 N Michigan Ave
Chicago, IL 60611-2826 - Phone
- (312) 503-8223
- NPI assigned
- Sep 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 125.054944 | IL | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036.126295 | IL |
Addresses
Primary practice location
645 N Michigan Ave
Chicago, IL 60611-2826
Mailing address
645 N Michigan Ave
Chicago, IL 60611-2826
Phone (312) 503-8223
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- New York Medical College, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12004 S Rte
Suite 59
Plainfield, IL 60585-5108
Phone (815) 416-6620
1206 E 9TH St
Suite 200a
Lockport, IL 60441-2404
Phone (630) 527-3000
1220 Hobson Rd
Suite 204
Naperville, IL 60540-8138
Phone (630) 416-7766
1325 N Meacham Rd
Schaumburg, IL 60173-4824
Phone (630) 469-9200
2100 Glenwood Ave
Joliet, IL 60435-5487
Phone (815) 725-2121
30 Stratford Dr
Bloomingdale, IL 60108-2201
Phone (630) 893-2210
40 S Clay St
Hinsdale, IL 60521-3257
430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone (630) 469-9200
430 Warrenville Rd
Suite 210
Lisle, IL 60532-1348
Phone (630) 432-6180
801 S Washington St
Naperville, IL 60540-7430
Phone (630) 527-3000
801 S Washington St
Naperville, IL 60540-7499
Phone (630) 355-0450
Hospital & facility affiliations
- Edward Hospital
- Swedish Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.5 of 100
- Quality
- 65
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 90 of 100
- Quality
- 80
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.126295 | IL | MD | Anatomic Pathology & Clinical Pathology Physician |
| 125.054944 | IL | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laboratory & Pathology Diagnostics, LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Edward Hospital | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Associated Pathologists and Laboratory Physicians, LLC | Current | Accepting new patients |
Locations
30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210
Dept 4387
Carol Stream, IL 60122
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
1206 E 9th St
Ste 200
Lockport, IL 60441
Phone (630) 545-7524
801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450
Interoperability endpoints
- https://fhirprd.edward.org/fhirprd/api/FHIR/R4/
Organizations & group practices 5
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.
-
- Anatomic Pathology Physician
- Naperville, IL
- NPI 1568903565
-
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
- Anatomic Pathology & Clinical Pathology Physician
- Naperville, IL
- NPI 1285713826
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
-
- General Acute Care Hospital
- Naperville, IL
- NPI 1013969013
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Naperville, IL
- NPI 1427069632
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1831151257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375833600000",
"number": "1720236359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 N MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112826",
"telephone_number": "312-503-8223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 N MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112826",
"telephone_number": "312-503-8223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERG",
"first_name": "KIM",
"middle_name": "NATASHA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-08",
"last_updated": "2013-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "125.054944",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "036.126295",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.