Active NPI
Berta Leisy Stroud, MD
- Anesthesiology Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01083247A
- Practice address
- 9500 Euclid Ave
Cleveland, OH 44195-0001 - Phone
- (216) 444-0660
- Fax
- (216) 444-7360
- NPI assigned
- May 7, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01083247A | IN | Primary |
Addresses
Primary practice location
9500 Euclid Ave
Cleveland, OH 44195-0001
Mailing address
PO Box 1332
Bloomington, IN 47402-1332
Phone (812) 345-8188
Other practice location 1
1402 S Grand Blvd
M260
Saint Louis, MO 63104-1004
Phone (314) 977-9853
Other names 1
- Berta Leisy Cerro Gomez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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 |
|---|---|---|---|---|
| I20200616001392 | IN | Practitioner - Anesthesiology | 3870895261 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bloomington Anesthesiologists PC
Practice addresses (Care Compare)
2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 353-9147
Hospital & facility affiliations
- Indiana University Health Bloomington Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01083247A | IN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloomington Anesthesiologists PC | Anesthesiology | Current | Accepting new patients |
Locations
445 S Landmark Ave
Bloomington, IN 47403
Phone (812) 353-3450
601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252
4011 S Monroe Medical Park Blvd
Bloomington, IN 47403
Phone (812) 825-5777
2800 Rex Grossman Blvd
Bloomington, IN 47403
Phone (800) 841-4938
2651 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-9147
2425 Northpark Dr
Ste 20
Columbus, IN 47203
Phone (812) 657-7800
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Bloomington, IN
- NPI 1912951054
Anesthesiology, IN
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1013395367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1332",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474021332",
"telephone_number": "812-345-8188",
"fax_number": "844-338-4526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441950001",
"telephone_number": "216-444-0660",
"fax_number": "216-444-7360"
}
],
"practiceLocations": [
{
"address_1": "1402 S Grand Blvd",
"address_2": "M260",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631041004",
"country_code": "US",
"telephone_number": "314-977-9853",
"fax_number": "314-977-9852",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STROUD",
"first_name": "BERTA",
"middle_name": "LEISY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-07",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01083247A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BERTA",
"last_name": "CERRO GOMEZ",
"middle_name": "LEISY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.