MARK D GENDLEMAN M.D.
NPI 1457339863
Specialist in Evanston, IL

Active since January 05, 2006PECOS Enrolled
75/100
CMS Quality Rating
2500 RIDGE AVE, SUITE 103, EVANSTON, IL 60201(847) 475-4556(847) 475-4565 Get Directions Write a Review

NPPES record last updated: March 11, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark D Gendleman M.d. NPPES

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

MARK D GENDLEMAN M.D. (NPI 1457339863) is an individual specialist in Evanston, Illinois, licensed in Illinois (036045834) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457339863
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMARK D GENDLEMANCredential: M.D.
Location Address2500 RIDGE AVE, SUITE 103Evanston, IL 60201-2455
Mailing Address2500 Ridge Ave, Suite 103Evanston, IL 60201-2455 · (847) 475-4556 · Fax (847) 475-4565
Fax(847) 475-4565
Sole ProprietorNo
Enumeration DateJanuary 5, 2006
Last NPPES UpdateMarch 11, 2015
NPI 1457339863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in IL · 036045834
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2500 RIDGE AVE, Evanston, IL 60201

Other Identifiers 3

Medicare NSC1457339863IL
Medicare UPIND13057
Medicaid036045834IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mark D Gendleman M.d. 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.

Areas of Expertise CMS Part B claims 20

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,291 services241 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
749 services470 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
543 services334 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
459 services333 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
132 services122 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
62 services62 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 20

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

Specialist
2500 RIDGE AVE, SUITE 301
EVANSTON, IL 60201
Podiatrist (Foot & Ankle Surgery)
2500 RIDGE AVE, SUITE #110
EVANSTON, IL 60201
Internal Medicine
2500 RIDGE AVE, STE 210
EVANSTON, IL 60201
Internal Medicine
2500 RIDGE AVE, SUITE 104
EVANSTON, IL 60201
Social Worker (Clinical)
2500 RIDGE AVE, SUITE 305
EVANSTON, IL 60201
Dentist (General Practice)
2500 RIDGE AVE, SUITE 102
EVANSTON, IL 60201
Internal Medicine
2500 RIDGE AVE, SUITE # 210
EVANSTON, IL 60201
Internal Medicine
2500 RIDGE AVE
EVANSTON, IL 60201

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 Mark Gendleman's NPI number?

The NPI number for Mark Gendleman is 1457339863. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is Mark Gendleman located?

Mark Gendleman practices at 2500 Ridge Ave Suite 103, Evanston, IL 60201. The listed phone number is (847) 475-4556.

What is Mark Gendleman's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mark Gendleman enrolled in Medicare?

Yes. Mark Gendleman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Gendleman was last updated on March 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.