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KEITH BERNDTSON MD
NPI 1235204397
Family Medicine in Park Ridge, IL

Active since November 22, 2006Opted out of Medicare · through Jul 1, 2028
15 N PROSPECT AVE, PARK RIDGE, IL 60068(847) 232-9800(847) 232-8910 Get Directions Write a Review

NPPES record last updated: May 17, 2011. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Keith Berndtson Md NPPES

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

KEITH BERNDTSON MD (NPI 1235204397) is an individual family medicine provider in Park Ridge, Illinois, licensed in Illinois (36-067274) and active in the NPI registry since November 2006. He has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1235204397
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKEITH BERNDTSONCredential: MD
Location Address15 N PROSPECT AVEPark Ridge, IL 60068-3563
Mailing Address15 N Prospect AvePark Ridge, IL 60068-3785 · (847) 232-9800 · Fax (847) 232-8910
Phone(847) 232-9800
Fax(847) 232-8910
Sole ProprietorNo
Enumeration DateNovember 22, 2006
Last NPPES UpdateMay 17, 2011
✔ NPI 1235204397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 36-067274
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
15 N PROSPECT AVE, Park Ridge, IL 60068
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Other Identifiers 1

Medicare UPINC49849IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Keith Berndtson Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2014 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2014
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 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 4

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

SUSAN ALLEN RD, CCN
Dietitian, Registered
15 N PROSPECT AVE
PARK RIDGE, IL 60068
Cook County (847) 232-9800
MS. DIANE M WILLIAMSON LMT, CMCE
Massage Therapist
15 N PROSPECT AVE
PARK RIDGE, IL 60068
Cook County (847) 387-9445
PARK RIDGE MULTI-MED, S.C.
Specialist
15 N PROSPECT AVE
PARK RIDGE, IL 60068
Cook County (847) 998-1414
JENNIFER KLOTZ R.D., M.S.
Dietitian, Registered
15 N PROSPECT AVE
PARK RIDGE, IL 60068
Cook County (847) 232-9800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Berndtson's NPI number?

The NPI number for Keith Berndtson is 1235204397. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Keith Berndtson located?

Keith Berndtson practices at 15 N Prospect Ave, Park Ridge, IL 60068. The listed phone number is (847) 232-9800.

What is Keith Berndtson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Keith Berndtson enrolled in Medicare?

No. Keith Berndtson has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Keith Berndtson was last updated on May 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.