MARK A. PASSERMAN DO – NPI #1851404313
Family Medicine

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.

Health Care Provider Taxonomy Code for Family Medicine

MARK PASSERMAN is a physician located in DWIGHT, IL. NPPES has assigned the NPI number 1851404313 to MARK PASSERMAN on August 17, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 5 years ago on Jun 14, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARK PASSERMAN below.

NPI Profile for
MARK A. PASSERMAN

NPI Number
1851404313
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARK A. PASSERMAN
Credentials
DO
Primary location
101 S PRAIRIE AVE
DWIGHT, IL 60420
Phone: (815) 584-3291 Fax: (815) 584-3475
1 Other location(s):
389 E Main St
Braidwood, IL 60408-2010
Phone: (815) 458-2532
Fax: (815) 458-2455
Mailing address
725 SCHOOL ST STE A
MORRIS, IL 60450-1207
Phone: (815) 941-9124 Fax: (815) 941-4363
Sole Proprietor
No
Updated
Certification Date
Jun 14, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MARK PASSERMAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL036116449-1
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 IL 036-116449

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
COLLEGE OF OSTEOPATHIC PHYSICIANS AND SURGEONS OF LOS ANGELES - Graduated 2002
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MARK PASSERMAN is affiliated with the following medical group(s):
  • HOSPITAL
    • MORRIS HOSPITAL & HEALTHCARE CENTERS
      150 W HIGH ST
      MORRIS, IL 60450
    • RIVERSIDE MEDICAL CENTER
      350 N WALL ST
      KANKAKEE, IL 60901
    • SAINT JAMES HOSPITAL
      2500 WEST REYNOLDS STREET
      PONTIAC, IL 61764
  • HOME HEALTH AGENCY
    • AT HOME QUALITY CARE - MORRIS
      519 N FRANKLIN ST STE 203
      MORRIS, IL 60450
    • CANDLELIGHT HOME HEALTHCARE LLC
      115 S BROADWAY
      COAL CITY, IL 60416
  • NURSING HOME
    • HERITAGE HEALTH-DWIGHT
      300 EAST MAZON AVENUE
      DWIGHT, IL 60420

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.