Individual provider Active NPI

Richard H Bertenshaw Jr., MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Darien, IL
National Provider Identifier
1992721898
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
036074851 Issued in IL
Practice address
7545 Wilton Rd
Darien, IL 60561-6702
Phone
(708) 921-6053
Fax
(877) 992-6901
NPI assigned
Jul 14, 2006
Last updated
Aug 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 036074851 IL Primary

Addresses

Primary practice location

7545 Wilton Rd
Darien, IL 60561-6702

Mailing address

7545 Wilton Rd
Darien, IL 60561-6702
Phone (708) 921-6053

Other identifiers 2

IdentifierTypeStateIssuer
1609994987OtherILGROUP PRACTICE NPI
C30167OtherILRAILROAD MEDICARE PTAN

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
I20101028000778 IL Practitioner - EndocrinologyPractitioner - Internal Medicine 2567656044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Partners IncGroup PAC ID 7517154347, 45 clinicians

Practice addresses (Care Compare)

5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone (708) 352-2100

908 N Elm St
Suite 404
Hinsdale, IL 60521-3638
Phone (630) 789-3422

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
Quality
70.57
Promoting interoperability
100
Improvement activities
40
Cost
68.22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners, Inc CurrentSince Oct 1, 2021 Accepting new patients

Locations

16955 Collection Ctr Dr
Chicago, IL 60693

908 N Elm St
Ste 404
Hinsdale, IL 60521
Phone (224) 273-8908

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1992721898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7545 WILTON RD",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605616702",
            "telephone_number": "708-921-6053",
            "fax_number": "877-992-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 WILTON RD",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605616702",
            "telephone_number": "708-921-6053",
            "fax_number": "877-992-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTENSHAW",
        "first_name": "RICHARD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-08-03",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036074851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PRACTICE NPI",
            "identifier": "1609994987",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "C30167",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, IL

Sources for this page

Verify at the official NPI Registry.