MR. THOMAS L BERRY N.P.
NPI 1104830876
Nurse Practitioner in Palos Heights, IL

Q: What is Thomas Berry's NPI number?

The NPI number for Thomas Berry is 1104830876. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Q: What is Thomas Berry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Berry was last updated on September 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 28, 2006PECOS Enrolled

7850 W COLLEGE DR, PALOS HEIGHTS, IL 60463(708) 361-6990(708) 361-7697 Get Directions Write a Review

NPPES record last updated: September 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Thomas L Berry N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. THOMAS L BERRY N.P. (NPI 1104830876) is an individual nurse practitioner in Palos Heights, Illinois, licensed in Illinois (209-005729) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104830876

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMR. THOMAS L BERRYCredential: N.P.

Location Address7850 W COLLEGE DRPalos Heights, IL 60463-1010

Mailing Address3037 Fresno LnHomewood, IL 60430-2840 · (708) 957-9121

Phone(708) 361-6990

Fax(708) 361-7697

Sole ProprietorNo

Enumeration DateJuly 28, 2006

Last NPPES UpdateSeptember 13, 2016

✔ NPI 1104830876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209-005729

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

7850 W COLLEGE DR, Palos Heights, IL 60463

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Other Identifiers 5

Medicaid209005729IL

Medicare PIN211968006IL

Medicare PIN211968003IL

OtherP00792110IL · Rr Medicare Ptan

Medicare PINK44496IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Thomas L Berry N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60463 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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