Keith R Berend, MD

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

35-08-1039 Issued in OH

Practice address

7277 Smiths Mill Rd Ste 200
New Albany, OH 43054-8195

Phone

(614) 221-6331

Fax

(142) 219-0426

NPI assigned

Aug 31, 2005

Last updated

Nov 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2023 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: berendkr@jisortho.com
• Direct secure messaging: keith.berend.p1@direct.beaconortho.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cambridge Surgical Suites, LLC

  • Ambulatory Surgical Clinic/Center
  • Cambridge, OH
  • NPI 1497406110
  NPD
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Starpath Orthopaedics & Sports Medicine, Inc.

  • Orthopaedic Surgery Physician
  • New Albany, OH
  • NPI 1548245566
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1003809484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 HARRISON AVE STE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477961",
            "telephone_number": "513-713-1779",
            "fax_number": "513-854-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7277 SMITHS MILL RD STE 200",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548195",
            "telephone_number": "614-221-6331",
            "fax_number": "142-219-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEREND",
        "first_name": "KEITH",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35.081039",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "OH",
            "license": "35-08-1039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2322034",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BerendKR@jisortho.com",
            "affiliation": "N",
            "endpointDescription": "Mount Carmel Health Columbus Direct Access",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "7277 Smiths Mill Rd",
            "address_2": "Suite 200",
            "city": "New Albany",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430548195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Evan Jon Beane, DC
• Kristin E Beigel, DPT
• Ashley Christina Susan Bell, FNP-C
• Jimmie Carter Bell III
• Leonard G Bennett Jr., PHARMD
• Philip D Berger, MD
• Kurt A Berlekamp, PA-C
• Kevin R Berry, MD
• Samira Yusuf Beyle
• BJ's Wholesale Club Inc.

• Adult Reconstructive Orthopaedic Surgery Physician in New Albany, OH
• Providers in New Albany, OH by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.