SENTA BERGGRUEN MD NPI 1891749776

Radiology (Diagnostic Radiology) in Chicago, IL

NPI 1891749776 Individual Female Years of Experience 24 Radiology Diagnostic Radiology PECOS Enrolled Accepts Medicare Approved Payment

About SENTA BERGGRUEN

Senta Berggruen is a provider established in Chicago, Illinois and her medical specialization is radiology (diagnostic radiology) with more than 24 years of experience. She graduated from Loyola University Of Chicago, Stritch School Of Medicine in 1998. The NPI number of Senta Berggruen is 1891749776 and was assigned on May 2006. The practitioner's primary taxonomy code is 2085R0202X with license number 036-108459 (IL). The provider is registered as an individual and her NPI record was last updated 12 years ago.

Senta Berggruen is enrolled in PECOS and is eligible to order or refer healthcare 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

Senta Berggruen 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 she has hospital affiliations with Northwestern Memorial Hospital.

NPI

1891749776

Provider Name SENTA BERGGRUEN MD
Provider Location Address201 E HURON ST 4TH FLOOR CHICAGO, IL 60611
Provider Mailing Address680 N LAKE SHORE DR SUITE 1000 CHICAGO, IL 60611
GenderFemale
NPI Entity TypeIndividual
Medical School NameLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year1998
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-22-2006
Last Update Date06-22-2009


Primary Taxonomy

Taxonomy Code2085R0202X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationDiagnostic Radiology
License No.036-108459
License StateIL
Taxonomy DescriptionA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

SENTA BERGGRUEN MD
201 E HURON ST
4TH FLOOR
CHICAGO, IL
ZIP 60611
Phone: (312) 695-3755
Fax: (312) 695-5645

Get Directions


Mailing Address

SENTA BERGGRUEN MD
680 N LAKE SHORE DR
SUITE 1000
CHICAGO, IL
ZIP 60611
Phone: (312) 695-3755
Fax: (312) 695-5645



Medicare Participation

Registered in PECOS? Yes 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.
PECOS PAC ID4688638570
PECOS Enrollment IDI20041119000403
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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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.

  • 259CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • 157CT scan of abdomen and pelvis (HCPCS:74176)
  • 100X-ray of abdomen, single view (HCPCS:74000)
  • 61Ultrasound of head and neck (HCPCS:76536)
  • 41X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 18X-ray of chest, 1 view, front (HCPCS:71010)

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. Senta Berggruen is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
NORTHWESTERN MEMORIAL HOSPITAL251 E HURON ST
CHICAGO, IL 60611
(312) 926-2000Acute Care Hospitals140281

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
I21227MEDICARE UPIN (02)

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295732857DR. MICHAEL MARK MINIEKA M.D.
Individual
Psychiatry & Neurology (Neurology)201 E HURON ST STE 11-100
CHICAGO, IL 60611
(312) 926-3731
1598753212DR. ALEXIS B OLSSON DDS
Individual
Oral & Maxillofacial Surgery201 E HURON ST 12-100
CHICAGO, IL 60611
(312) 926-6333
1346223922MS. ANNE FUREY SCHULTZ M.D.
Individual
Internal Medicine201 E HURON ST SUITE 12-105
CHICAGO, IL 60611
(312) 926-3627
1821073172DR. EDWARD J. OLINGER M.D.
Individual
Internal Medicine (Gastroenterology)201 E HURON ST SUITE 12-200
CHICAGO, IL 60611
(312) 926-3616
1548247794DR. EUSTATHIA J. PANOUSHIS M.D.
Individual
Pediatrics201 E HURON ST GALTER AMBULATORY PAVILLION SUITE 12-260
CHICAGO, IL 60611
(312) 926-9570
1164491858 ELIZABETH J LAVOO M.D.
Individual
Dermatology201 E HURON ST GALTER PAV 11-230
CHICAGO, IL 60611
(312) 642-6868
1104888700DR. THOMAS A. STOCKERT M.D.
Individual
Internal Medicine201 E HURON ST STE 12-205
CHICAGO, IL 60611
(312) 944-0688
1952367054 JAMES HENRY COHN MD
Individual
Internal Medicine201 E HURON ST SUITE 11-200
CHICAGO, IL 60611
(312) 943-8566
1447216544 JOHN PATTERSON GERBER M.D.
Individual
Psychiatry & Neurology (Psychiatry)201 E HURON ST SUITE 11-100
CHICAGO, IL 60611
(312) 695-0448
1891740627 GREGORY E BRISSON M.D.
Individual
Internal Medicine201 E HURON ST 12TH FLOOR, SUITE 105
CHICAGO, IL 60611
(312) 926-6146
1780639930 ERIC BREHM M.D.
Individual
Internal Medicine201 E HURON ST 12TH FLOOR , SUITE 105
CHICAGO, IL 60611
(312) 926-3627
1386690857 ANITA CHANDRA-PURI
Individual
Pediatrics201 E HURON ST 12TH FL. SUITE 130
CHICAGO, IL 60611
(312) 926-7028
1962440727DR. FRANCISCO ALBERTO GUTIERREZ MD
Individual
Specialist201 E HURON ST SUITE 9-160
CHICAGO, IL 60611
(312) 926-3430
1912947458 DANIEL M DERMAN M.D.
Individual
Internal Medicine201 E HURON ST 12TH FLOOR, SUITE 105
CHICAGO, IL 60611
(312) 926-3642
1972544328 PETER A LECHMAN M.D.
Individual
Pediatrics201 E HURON ST 12TH FLOOR, SUITE 130
CHICAGO, IL 60611
(312) 926-7028
1790726651 ALYSE EYTAN M.D.
Individual
Psychiatry & Neurology (Psychiatry)201 E HURON ST 9-235
CHICAGO, IL 60611
(312) 926-3540
1538102652 THERESA KARACIC M.D.
Individual
Pediatrics201 E HURON ST 12TH FLOOR, SUITE 130
CHICAGO, IL 60611
(312) 926-7028
1447295092 JOAN MANKOWSKI MD
Individual
Internal Medicine201 E HURON ST 5TH FLOOR, SUITE 110
CHICAGO, IL 60611
(312) 926-6433
1215973599 KELLYN MARKS M.D.
Individual
Internal Medicine201 E HURON ST 12TH FL SUITE 105
CHICAGO, IL 60611
(312) 926-5111
1194751461 CHRISTINE E ORDERS M.D.
Individual
Internal Medicine201 E HURON ST 12TH FLOOR, SUITE 105
CHICAGO, IL 60611
(312) 926-5111

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
The code describing 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.