Active NPI
Mark Berman, D.P.M.
- Podiatrist
- Skokie, IL
National Provider Identifier
1760428890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 16003176
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 100
- Quality
- 59.31
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1182 |
| Removal or shaving of skin growth | 762 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16003176 | IL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark Berman D.P.M. | Podiatrist | Past | Accepting new patients |
Interoperability endpoints
- mark.berman@mbd-il.direct.office.nextgen.com
- 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.
-
- Podiatrist
- Skokie, IL
- NPI 1518977974
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.