Active NPI
Jeffrey J. Betman, D.P.M.
- Podiatrist
- Chicago, IL
National Provider Identifier
1891793907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016004531
- Practice address
- 6039 W Belmont Ave
Chicago, IL 60634-5116 - Phone
- (773) 745-1919
- Fax
- (773) 745-1998
- NPI assigned
- Jul 12, 2005
- Reactivated
- Mar 21, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 016004531 | IL | Primary |
Addresses
Primary practice location
6039 W Belmont Ave
Chicago, IL 60634-5116
Mailing address
6039 W Belmont Ave
Chicago, IL 60634-5116
Phone (773) 745-1919
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016004531 | Medicaid | IL | |
| 60001764 | Other | IL | BLUE CROSS BLUE SHIELD |
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
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6039 W Belmont Ave
Chicago, IL 60634-5150
Phone (773) 745-1919
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 234 |
| Removal of nail tissue | 621 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Jeffrey J Betman Podiatric Physician and Surgeon PC | Podiatrist | Current | Accepting new patients |
Locations
6745 W 63rd St
Chicago, IL 60638
Phone (630) 335-4571
6039 W Belmont Ave
Chicago, IL 60634
Phone (773) 622-6095
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/9fd8edc6-b948-4724-a29c-1558edd5eb23/
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.
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1306018965
Podiatrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1891793907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6039 W BELMONT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606345116",
"telephone_number": "773-745-1919",
"fax_number": "773-745-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6039 W BELMONT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606345116",
"telephone_number": "773-745-1919",
"fax_number": "773-745-1998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETMAN",
"first_name": "JEFFREY",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"deactivation_date": "2006-03-16",
"reactivation_date": "2006-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016004531",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016004531",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "60001764",
"state": "IL"
}
],
"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 May 21, 2025; 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.