Individual provider Active NPI

Yaw D Berko, MD

  • Internal Medicine Physician
  • Green Bay, WI
National Provider Identifier
1003952995
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
50019-020 Issued in WI
Practice address
1726 Shawano Ave
Green Bay, WI 54303-3216
Phone
(920) 496-4700
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 74

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

View all 74

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thedacare, Incorporated 654 clinicians
Baycare Aurora LLC 197 clinicians
Agnesian Healthcare Inc 392 clinicians
Ascension Medical Group-Fox Valley Wisconsin, Inc 260 clinicians
Fort Healthcare Inc 159 clinicians
St Vincent Hospital-Hospital Sisters-Third Order of St Francis 593 clinicians

Practice addresses (Care Compare)

130 2ND St
Neenah, WI 54956-2883
Phone (920) 725-0077

2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone (920) 288-8000

3 Neenah Ctr
Neenah, WI 54956-3070

420 E Division St
Fond Du Lac, WI 54935-4560
Phone (920) 923-7400

430 E Division St
Fond Du Lac, WI 54935-4560
Phone (920) 929-2300

500 S Oakwood Rd
3Rd Floor
Oshkosh, WI 54904-7944
Phone (920) 223-3000

600 N Westhaven Dr
Oshkosh, WI 54904-6926
Phone (920) 725-0077

611 Sherman Ave E
Fort Atkinson, WI 53538-1960
Phone (920) 568-1000

835 S Van Buren St
Green Bay, WI 54301-3526
Phone (920) 496-4700

Hospital & facility affiliations

  • SSM Health St Agnes Hospital-Fond Du Lac Hospital, Fond Du Lac, WI, CCN 520088
  • Fort Memorial Hospital Hospital, Fort Atkinson, WI, CCN 520071
  • Ascension NE Wisconsin - St Elizabeth Campus Hospital, Appleton, WI, CCN 520009
  • Thedacare Regional Med Ctr - Neenah Hospital, Neenah, WI, CCN 520045
  • St Marys Hospital Medical Ctr Hospital, Green Bay, WI, CCN 520097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070607000528 WI Practitioner - HospitalistPractitioner - Internal Medicine 6608974050 Reassigns benefits to 16 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50019-020WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary'S Hospital Medical Center of Green Bay Inc.-Hospital Sisters CurrentSince Jan 1, 2008 Accepting new patients
Fort Healthcare Inc Current Accepting new patients
St Nicholas Hospital-Sisters of the Third Order of St Francis Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Oct 1, 2017 Accepting new patients
Aurora Medical Group, Inc. Internal Medicine Current Accepting new patients
Baycare Aurora, LLC CurrentSince May 4, 2019 Accepting new patients
Thedacare, Incorporated CurrentSince Apr 15, 2010 Accepting new patients
St Clare Memorial Hospital, Inc CurrentSince Oct 1, 2020 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Feb 23, 2015 Accepting new patients
Apogee Medical Group, Wisconsin, S.C Internal Medicine CurrentSince Jun 15, 2019 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jan 1, 2014 Accepting new patients
Fort Healthcare Inc CurrentSince Jan 1, 2011 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Apr 1, 2010 Accepting new patients
St. Clare Memorial Hospital, Inc CurrentSince Oct 1, 2020 Accepting new patients
SSM Health Care of Wisconsin, Inc. CurrentSince Dec 27, 2016 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Aug 1, 2009 Accepting new patients
Agnesian Healthcare Inc CurrentSince Aug 15, 2013 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis Internal Medicine CurrentSince Aug 1, 2009 Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Oct 1, 2017 Accepting new patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Mar 1, 2020 Accepting new patients
Thedacare, Incorporated CurrentSince Apr 15, 2010 Accepting new patients
Prevea Clinic, Inc. Internal Medicine Current Accepting new patients
Aspirus Wausau Hospital, Inc. Internal Medicine CurrentSince Apr 1, 2010 Accepting new patients
Prevea Clinic, Inc. CurrentSince Jul 1, 2007 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Feb 23, 2015 Accepting new patients
Agnesian Healthcare, Inc Current Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jan 1, 2014 Accepting new patients
Agnesian Healthcare Inc Internal Medicine CurrentSince Aug 15, 2013 Accepting new patients
SSM Health Care of Wisconsin Inc Internal Medicine CurrentSince Dec 27, 2016 Accepting new patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis Internal Medicine Current Accepting new patients
Hospitalist Medicine Physicians of Wisconsin Rapids LTD Internal Medicine Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients

Locations (25 of 35)

29980 Network Pl
Chicago, IL 60673

7153 Solutions Ctr
Chicago, IL 60677

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

707 14th St
Baraboo, WI 53913
Phone (608) 356-1400

617 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 834-2788

900 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 717-4121

430 E Division St
Fond du Lac, WI 54935
Phone (920) 926-4200

420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

512 Wilcox St
Fort Atkinson, WI 53538
Phone (920) 563-7366

2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016

2253 W Mason St
Green Bay, WI 54303
Phone (920) 327-7000

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

10117 74th St
Ste 110
Kenosha, WI 53142
Phone (262) 697-1919

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

1405 Mill St
New London, WI 54961
Phone (920) 531-2000

855 S Main St
Ste 1
Oconto Falls, WI 54154
Phone (920) 846-8187

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

855 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 451-5643

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
  • Direct secure messaging: yaw.berko@direct.forthc.com
  • Direct secure messaging: yberko147388@direct.myadvocateaurora.org
  • Direct secure messaging: yberko28098@direct.thedacare.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 50019-020 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

1726 Shawano Ave
Green Bay, WI 54303-3216

Mailing address

4388 Gull Prairie Dr Apt 3B
Kalamazoo, MI 49048-3121
Phone (269) 382-2516

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
50019-020OtherWIWISCONSIN STATE LICENSE

Electronic endpoints 4

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address yberko332573@direct-ehr-ssmhc.com Direct AGNESIAN HEALTHCARE INC
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other AGNESIAN HEALTHCARE INC
Direct Messaging Address yberko147388@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 8, 2021.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1003952995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4388 GULL PRAIRIE DR APT 3B",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490483121",
            "telephone_number": "269-382-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 SHAWANO AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543033216",
            "telephone_number": "920-496-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKO",
        "first_name": "YAW",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "50019-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN STATE LICENSE",
            "identifier": "50019-020",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yberko332573@direct-ehr-ssmhc.com",
            "affiliation": "Y",
            "affiliationName": "AGNESIAN HEALTHCARE INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "yberko332573@direct-ehr-ssmhc.com",
            "address_1": "430 E Division St",
            "city": "Fond Du Lac",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549354560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "AGNESIAN HEALTHCARE INC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "430 E Division St",
            "city": "Fond Du Lac",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549354560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yberko147388@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1726 Shawano Ave",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543033216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1726 Shawano Ave",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543033216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.