Individual provider Active NPI

Mark Berman, D.P.M.

  • Podiatrist
  • Skokie, IL
National Provider Identifier
1760428890
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
16003176 Issued in IL
Practice address
10024 Skokie Blvd
Suite 303
Skokie, IL 60077-9944
Phone
(847) 674-1660
Fax
(847) 674-2688
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 16003176 IL Primary

Addresses

Primary practice location

10024 Skokie Blvd
Suite 303
Skokie, IL 60077-9944

Mailing address

2402 E Harbor Ridge Way
Suite E
Lindenhurst, IL 60046-4911
Phone (847) 245-4100

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060921000023 IL Practitioner - Podiatry 4688679947 Practice locations: Skokie, IL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1980
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10024 N Skokie Blvd
Suite 303
Skokie, IL 60077-9945

9933 Lawler Ave
Suite 206a
Skokie, IL 60077-3703
Phone (847) 674-1660

Merit-based Incentive Payment System (MIPS)

Final score
84.65 of 100Reported as individual
Quality
59.31
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1182
Removal or shaving of skin growth762

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16003176ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Berman D.P.M. Podiatrist PastSince Jan 1, 1990 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mark.berman@mbd-il.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1760428890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 E HARBOR RIDGE WAY",
            "address_2": "SUITE E",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600464911",
            "telephone_number": "847-245-4100",
            "fax_number": "847-245-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10024 SKOKIE BLVD",
            "address_2": "SUITE 303",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600779944",
            "telephone_number": "847-674-1660",
            "fax_number": "847-674-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "16003176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.