Individual provider Active NPI

Jeffrey J. Betman, D.P.M.

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1891793907
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016004531 Issued in IL
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

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
016004531MedicaidIL
60001764OtherILBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080425000037 IL Practitioner - Podiatry 8325126782 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Removal of tissue234
Removal of nail tissue621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Jeffrey J Betman Podiatric Physician and Surgeon PC Podiatrist CurrentSince Jul 1, 1991 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.