Individual provider Active NPI

Sharon D. Berliant, M.D.

  • Internal Medicine Physician
  • Skokie, IL
National Provider Identifier
1982672549
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036076464 Issued in IL
Practice address
9555 Gross Point Rd
Skokie, IL 60076-1356
Phone
(847) 291-7750
NPI assigned
Mar 9, 2006
Last updated
Jul 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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 036076464 IL Primary

Addresses

Primary practice location

9555 Gross Point Rd
Skokie, IL 60076-1356

Mailing address

9555 Gross Point Rd
Skokie, IL 60076-1356
Phone (847) 291-7750

Other identifiers 1

IdentifierTypeStateIssuer
036076464MedicaidIL

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
I20101210000089 IL Practitioner - Internal Medicine 0244427680 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forward Focus Medical Care LLCGroup PAC ID 2961402482, 10 clinicians

Practice addresses (Care Compare)

990 S Waukegan Rd
Suite 200
Lake Forest, IL 60045-2655
Phone (847) 234-8100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Focus Medical Care LLC Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Mar 1, 2014 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Mar 1, 2014 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

251 E Huron St
#16
Chicago, IL 60611

680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

900 N Westmoreland Rd
Ste 104
Lake Forest, IL 60045
Phone (847) 234-5094

990 S Waukegan Rd
Ste 200
Lake Forest, IL 60045
Phone (847) 234-0555

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1982672549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 GROSS POINT RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761356",
            "telephone_number": "847-291-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 GROSS POINT RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761356",
            "telephone_number": "847-291-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLIANT",
        "first_name": "SHARON",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036076464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036076464",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.