HEIDI BERTRAM (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1528011319

HEIDI BERTRAM (MD) is a healthcare provider. based in Lake villa, Illinois. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 01051042A (IN). The NPI Number for HEIDI BERTRAM (MD) is 1528011319

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
HEIDI BERTRAM (MD)
NPI
1528011319
Phone
(847) 543-4160
Address
35558 N KENNETH DR
Enumeration Date
19 May 2006
Last Update Date
17 August 2023

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
8157594323
Graduation Year
1997 (29 years ago)
PAC ID
1557513066
Group Practice PAC ID
4587576814
Professional Enrollment ID
I20190125001327
Address ID
IL600508409MC4201XDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

766 PATHOLOGY in IL

Provider Addresses for HEIDI BERTRAM (MD)

  • 35558 N KENNETH DR

    LAKE VILLA, IL 600467152

    Phone: (847) 543-4160

    Type: Mailing

  • 4201 W MEDICAL CENTER DR

    MCHENRY, IL 600508409

    Phone: (815) 759-4806

    Fax: (815) 759-4867

    Type: Location

  • 101, Bodin Circle, Fairfield, Solano County, California, 94535, United States

    TRAVIS AFB, CA 945351809

    Phone: (707) 423-7705

    Type: Location

  • 3636, Doral Drive, Fairfield, Solano County, California, 94533, United States

    FAIRFIELD, CA 945337748

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-01-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190125001327IPathologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity847425$0
88342Special stained specimen slides to examine tissue, initial procedure8982$0
88341Special stained specimen slides to examine tissue, each additional procedure4513$0
88307Pathology examination of tissue using a microscope, moderately high complexity2117$0
View full utilization report →

Insurance plans in this area (ZIP 60046)

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Provider's Procedures

HEIDI BERTRAM (MD) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYCA88307Pathology examination of tissue using a microscope, moderately high complexity10460
PATHOLOGYCA88312Special stained specimen slides to identify organisms including interpretation and report2117
PATHOLOGYCA88342Tissue or cell analysis by immunologic technique6752

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587576814View full group profile
NameSpecialtyState
-IL
Diagnostic Radiology, Interventional RadiologyIL
P A T H O L O G YIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
G A S T R O E N T E R O L O G YIL
Internal MedicineIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineMN
-IL
Physical Therapist In Private PracticeIL
Nurse PractitionerIL

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Frequently asked questions

How is HEIDI BERTRAM (MD) identified in CMS data?
CMS-hosted NPPES data lists HEIDI BERTRAM (MD) with NPI 1528011319.
Does CMS list HEIDI BERTRAM (MD) as active?
Yes — HEIDI BERTRAM (MD) is active in the NPI listing used on this page.
What taxonomy line describes HEIDI BERTRAM (MD)?
For research purposes, treat HEIDI BERTRAM (MD) as Anatomic Pathology & Clinical Pathology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is HEIDI BERTRAM (MD) based?
HEIDI BERTRAM (MD) is tied to Lake Villa, Illinois in the data we show; additional addresses may exist on the full record.
Why does HEIDI BERTRAM (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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