Active NPI
Yaw D Berko, MD
- Internal Medicine Physician
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 50019-020
- 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.
-
- Multi-Specialty Clinic/Center
- Neenah, WI
- NPI 1730126392
WI
-
- General Practice Physician
- Green Bay, WI
- NPI 1285613638
Internal Medicine, WI
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
Internal Medicine, WI
-
- Internal Medicine Physician
- Baraboo, WI
- NPI 1730160011
Internal Medicine, WI
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1649246877
Hospital
-
- General Acute Care Hospital
- Neenah, WI
- NPI 1023472842
Hospital
-
- General Acute Care Hospital
- Menasha, WI
- NPI 1720434806
Hospital
-
- General Acute Care Hospital
- Neenah, WI
- NPI 1518993880
Hospital
-
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1861943409
Hospital
-
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1679937494
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Thedacare, IncorporatedBaycare Aurora LLCAgnesian Healthcare IncAscension Medical Group-Fox Valley Wisconsin, IncFort Healthcare IncSt Vincent Hospital-Hospital Sisters-Third Order of St Francis
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
- Fort Memorial Hospital
- Ascension NE Wisconsin - St Elizabeth Campus
- Thedacare Regional Med Ctr - Neenah
- St Marys Hospital Medical Ctr
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070607000528 | WI | Practitioner - Hospitalist | 6608974050 | Reassigns benefits to 16 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50019-020 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Mary'S Hospital Medical Center of Green Bay Inc.-Hospital Sisters | Current | Accepting new patients | |
| Fort Healthcare Inc | Current | Accepting new patients | |
| St Nicholas Hospital-Sisters of the Third Order of St Francis | Internal Medicine | Current | Accepting new patients |
| Ascension NE Wisconsin, Inc | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Baycare Aurora, LLC | Current | Accepting new patients | |
| Thedacare, Incorporated | Current | Accepting new patients | |
| St Clare Memorial Hospital, Inc | Current | Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| Apogee Medical Group, Wisconsin, S.C | Internal Medicine | Current | Accepting new patients |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Fort Healthcare Inc | Current | Accepting new patients | |
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| St. Clare Memorial Hospital, Inc | Current | Accepting new patients | |
| SSM Health Care of Wisconsin, Inc. | Current | Accepting new patients | |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Current | Accepting new patients | |
| Agnesian Healthcare Inc | Current | Accepting new patients | |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Internal Medicine | Current | Accepting new patients |
| Ascension NE Wisconsin, Inc | Current | Accepting new patients | |
| St. Nicholas Hospital-Sisters of the Third Order of St Francis | Current | Accepting new patients | |
| Thedacare, Incorporated | Current | Accepting new patients | |
| Prevea Clinic, Inc. | Internal Medicine | Current | Accepting new patients |
| Aspirus Wausau Hospital, Inc. | Internal Medicine | Current | Accepting new patients |
| Prevea Clinic, Inc. | Current | Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| Agnesian Healthcare, Inc | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Agnesian Healthcare Inc | Internal Medicine | Current | Accepting new patients |
| SSM Health Care of Wisconsin Inc | Internal Medicine | Current | 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
- https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
- yaw.berko@direct.forthc.com
- yberko147388@direct.myadvocateaurora.org
- yberko28098@direct.thedacare.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 50019-020 | WI | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50019-020 | Other | WI | WISCONSIN STATE LICENSE |
Electronic endpoints 4
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.