DR. DANIEL BERMAN M.D. NPI 1255339792
Internal Medicine in Morton Grove, IL
NPI Profile for DR. DANIEL BERMAN M.D.
Daniel Berman is an internal medicine provider established in Morton Grove, Illinois and his medical specialization is internal medicine with more than 21 years of experience. He graduated from Rush Medical College Of Rush University in 2002. The NPI number of Daniel Berman is 1255339792 and was assigned on July 2005. The practitioner's primary taxonomy code is 207R00000X with license number 036113788 (IL). The provider is registered as an individual and his NPI record was last updated one year ago.
An internist like Dr. Daniel Berman M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Daniel Berman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Daniel Berman is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Advocate Lutheran General Hospital and Northshore University Healthsystem - Evanston Hospital.
The typical physician office visit costs for Medicare beneficiaries in this area are: $36.21 for a new patient copayment and $27.76 for an established patient copayment.
| NPI | 1255339792 |
| Provider Name | DR. DANIEL BERMAN M.D. |
| Provider Location Address | 6131 DEMPSTER ST MORTON GROVE, IL 60053 |
| Provider Mailing Address | 6131 DEMPSTER ST MORTON GROVE, IL 60053 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 2002 |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 07-08-2005 |
| Last Update Date | 12-15-2021 |
Primary Taxonomy
| Taxonomy Code | 207R00000X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 036113788 |
| License State | IL |
| Taxonomy Description | A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Business Address
DR. DANIEL BERMAN M.D.
6131 DEMPSTER ST
MORTON GROVE, IL
ZIP 60053
Phone: (847) 967-5010
Fax: (847) 967-5147
Mailing Address
DR. DANIEL BERMAN M.D.
6131 DEMPSTER ST
MORTON GROVE, IL
ZIP 60053
Phone: (847) 967-5010
Fax: (847) 967-5147
PECOS Enrollment and Medicare Participation
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 7719913227 |
| PECOS Enrollment ID | I20050714001032 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 60053 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $63 | $191.32 | $144.84 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $15.75 | $47.83 | $36.21 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $19.29 | $155.26 | $111.04 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.82 | $38.81 | $27.76 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 476Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- 117Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- 80Administration of pneumococcal vaccine (HCPCS:G0009)
- 68Administration of influenza virus vaccine (HCPCS:G0008)
- 66Pneumococcal vaccine for injection into muscle (HCPCS:90670)
- 49Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
- 39Hemoglobin A1C level (HCPCS:83036)
- 14Removal of impact ear wax, one ear (HCPCS:69210)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Daniel Berman is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| ADVOCATE LUTHERAN GENERAL HOSPITAL | 1775 DEMPSTER ST PARK RIDGE, IL 60068 | (847) 723-2210 | Acute Care Hospitals | 140223 | |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | 2650 RIDGE AVE EVANSTON, IL 60201 | (847) 432-8000 | Acute Care Hospitals | 140010 |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01632926 | OTHER (01) | IL | BLUE CROSS BLUE SHIELD |
NPI Validation Check Digit Calculation
The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 3 | 3 | 9 | 7 | 9 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 6 | 3 | 18 | 7 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 6 + 3 + 1 + 8 + 7 + 1 + 8 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1255339792 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the same location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1467450999 | DR. GORDON COTELL M.D. Individual | Internal Medicine | 6131 DEMPSTER ST MORTON GROVE, IL 60053 (847) 967-5010 |
| 1770581092 | DR. JERRY BERNSTEIN M.D. Individual | Internal Medicine | 6131 DEMPSTER ST MORTON GROVE, IL 60053 (847) 967-5010 |
| 1134305402 | DR. SUSANA SALCEDO M.D. Individual | Internal Medicine | 6131 DEMPSTER ST MORTON GROVE, IL 60053 (847) 967-5010 |
| 1194972828 | MRS. JUDITH WHITFORD JAMES FNP-BC Individual | Nurse Practitioner (Family) | 6131 DEMPSTER ST MORTON GROVE, IL 60053 (847) 967-5010 |
| 1235136961 | DR. KATHY BAILEY M.D Individual | Internal Medicine | 6131 DEMPSTER ST MORTON GROVE, IL 60053 (847) 967-5010 |
| 1356601256 | DR. HILLARY COHEN ECKER M.D. Individual | Internal Medicine | 6131 DEMPSTER ST MORTON GROVE, IL 60053 (847) 967-5010 |
| 1376672212 | DR. ELLEN ALEKSANDROVICH M.D. Individual | Internal Medicine | 6131 DEMPSTER ST MORTON GROVE, IL 60053 (847) 967-5010 |
| 1538567615 | KELLY MCCLINTOCK APN, FNP-C Individual | Nurse Practitioner (Family) | 6131 DEMPSTER ST MORTON GROVE, IL 60053 (847) 967-5010 |
| 1609950807 | MISS NICHELLE J PAJEAU P.A., Individual | Physician Assistant | 6131 DEMPSTER ST MORTON GROVE, IL 60053 (847) 967-5010 |
| 1841298395 | DR. DANIEL LAZAR M.D. Individual | Internal Medicine | 6131 DEMPSTER ST MORTON GROVE, IL 60053 (847) 967-5010 |
| 1750389201 | DR. LEXY WISTENBERG M.D. Individual | Internal Medicine | 6131 DEMPSTER ST MORTON GROVE, IL 60053 (847) 967-5010 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
Dr. Daniel Berman M.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:
- 1 = Person: individual human being who furnishes health care.
- 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.