Individual provider Active NPI

Mark Weisberg

  • Internal Medicine Physician
  • Elk Grove VLG, IL
National Provider Identifier
1972531168
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Practice address
810 Biesterfield Rd
Suite G4
Elk Grove VLG, IL 60007-7312
Phone
(847) 981-8856
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X IL Primary

Addresses

Primary practice location

810 Biesterfield Rd
Suite G4
Elk Grove VLG, IL 60007-7312

Mailing address

810 Biesterfield Rd
Suite G4
Elk Grove VLG, IL 60007-7312

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040318000386 IL Practitioner - Internal Medicine 4688563190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northwestern University Feinberg Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elk Grove Internists PCGroup PAC ID 8527957026, 2 clinicians

Practice addresses (Care Compare)

800 Biesterfield Rd
Suite 404
Elk Grove Village, IL 60007-3378
Phone (847) 981-8856

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258
  • St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036086489ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elk Grove Internists, P.C. Internal Medicine CurrentSince Feb 1, 2001 Accepting new patients

Locations

800 Biesterfield Rd
Ste 404
Elk Grove Vlg, IL 60007
Phone (847) 981-8856

810 Biesterfield Rd
Ste 404
Elk Grove Vlg, IL 60007

810 Biesterfield Rd
Ste G4
Elk Grove Vlg, IL 60007
Phone (847) 981-8856

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1972531168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 BIESTERFIELD RD",
            "address_2": "SUITE G4",
            "city": "ELK GROVE VLG",
            "state": "IL",
            "postal_code": "600077312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 BIESTERFIELD RD",
            "address_2": "SUITE G4",
            "city": "ELK GROVE VLG",
            "state": "IL",
            "postal_code": "600077312",
            "telephone_number": "847-981-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBERG",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove VLG, IL

Sources for this page

Verify at the official NPI Registry.