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JAMES BERMAN MD
NPI 1407820731
Pediatrics - Pediatric Gastroenterology in Springfield, IL

Active since February 14, 2006PECOS Enrolled
400 N 9TH ST FL 4, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-1036 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 17, 2022, May 10, 2022 (2 updates tracked since 2022).

About James Berman Md NPPES

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

JAMES BERMAN MD (NPI 1407820731) is an individual pediatric gastroenterology provider in Springfield, Illinois, licensed in Illinois (036-077031) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Park Ridge.

NPPES Registry Identity

NPI1407820731
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameJAMES BERMANCredential: MD
Location Address400 N 9TH ST FL 4Springfield, IL 62702-5310
Mailing Address201 E Madison St Ste 328Springfield, IL 62702-5131 · (217) 545-8000
Phone(217) 545-8000
Fax(217) 545-1036
Sole ProprietorNo
Enumeration DateFebruary 14, 2006
Last NPPES UpdateJanuary 28, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2025
✔ NPI 1407820731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in IL · 036-077031
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
400 N 9TH ST FL 4, Springfield, IL 62702
Open in Google Maps ↗

Secondary Practice Location 1

Location 11675 W Dempster St Fl 3Park Ridge, IL 60068-1110 · Phone (847) 723-7700 · Fax (847) 723-9418

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Berman Md 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.

Medicare Billing Reassignments

6

Medicare enrollment records show James Berman reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Siu Physicians & Surgeons, Inc
0.5 mi
Endocrinology, Diabetes & Metabolism
201 E MADISON ST STE 328
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 645 clinicians in this Medicare group
NPI 1558385989 (217) 545-8000
Advocate Health And Hospitals Corp.
59 mi
General Acute Care Hospital
1304 FRANKLIN AVE
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 4,870 clinicians in this Medicare group
NPI 1831420520 (309) 454-1400
Board Of Trustees Of The University Of Illinois
62 mi
Pediatrics
1 ILLINI DR
Peoria, IL 61605
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1467425322 (309) 680-8649
Cook County
159 mi
Primary Care
1645 COTTAGE GROVE AVE
Ford Heights, IL 60411
  • Reassigned Medicare billing, Illinois enrollment
  • 1,047 clinicians in this Medicare group
NPI 1760502439 (708) 753-5800
Rush University Medical Center
167 mi
Internal Medicine
2011 YORK ROAD, 2ND FLOOR
Oak Brook, IL 60523
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rush University Medical Group
  • 2,169 clinicians in this Medicare group
NPI 1801375696 (630) 724-1310
Loyola University Medical Center
171 mi
General Practice
2160 S 1ST AVE
Maywood, IL 60153
  • Reassigned Medicare billing, Illinois enrollment
  • 1,138 clinicians in this Medicare group
NPI 1336159961 (708) 216-3215

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 9

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

DANIELLE JEAN KEY PSY.D
Psychologist (Clinical)
400 N 9TH ST FL 4
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
MARIHA KHAN
Pediatrics
400 N 9TH ST FL 4
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
MICHELLE M MINER MD
Pediatrics
400 N 9TH ST FL 4
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. JENNA GOECKNER MD
Pediatrics
400 N 9TH ST FL 4
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. AVANI GANTA M.B.B.S
Pediatrics (Pediatric Endocrinology)
400 N 9TH ST FL 4
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
IBRAHIM MAKKI BINALSHEIKH
Psychiatry & Neurology (Neurology)
400 N 9TH ST FL 4
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
MS. RACHEL HOSELTON NP
Nurse Practitioner (Pediatrics)
400 N 9TH ST FL 4
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
HOSSAM HAMDI ABDELSALAM M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
400 N 9TH ST FL 4
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000

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 James Berman's NPI number?

The NPI number for James Berman is 1407820731. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is James Berman located?

James Berman practices at 400 N 9th St Fl 4, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is James Berman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is James Berman enrolled in Medicare?

Yes. James Berman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Berman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Berman reassigns Medicare benefits to 6 organizations: Siu Physicians & Surgeons, Inc (Springfield, IL), Advocate Health And Hospitals Corp. (Normal, IL), Board Of Trustees Of The University Of Illinois (Peoria, IL), Cook County (Ford Heights, IL), Rush University Medical Center (Oak Brook, IL) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Berman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Berman accept?

Health plans from Oscar Health list James Berman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Berman was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.