Individual provider Active NPI

Anna Berenstein, MD

  • Internal Medicine Physician
  • Port Charlotte, FL
National Provider Identifier
1023047875
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME127835 Issued in FL
Practice address
3390 Tamiami TRL
Suite 204
Port Charlotte, FL 33952-8157
Phone
(941) 391-5496
Fax
(941) 875-9875
NPI assigned
Jul 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1631581 NY
Internal Medicine Physician 207R00000X ME127835 FL Primary

Addresses

Primary practice location

3390 Tamiami TRL
Suite 204
Port Charlotte, FL 33952-8157

Mailing address

3390 Tamiami TRL
Suite 204
Port Charlotte, FL 33952-8157
Phone (941) 391-5496

Other identifiers 12

IdentifierTypeStateIssuer
159713OtherNYELDERPLAN
163158A39OtherNYHEALTHFIRST
28756POtherNYHIP
KP359OtherNYOXFORD
0090031OtherNYGHI COMMERCIAL
171911OtherNYWELLCARE
1P0466OtherNYACS HEALTHNET OF NE
1631580199001OtherNYNEIGHBORHOOD
ME127835OtherFLFLORIDA MEDICAL LICENSE
040426018134OtherNYFIDELIS
RSX003101OtherNYAMERICHOICE
00932274MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160621000237 FL Practitioner - Internal Medicine 3971636655 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1964
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Philippe Noel MD and Anna Berenstein MD PAGroup PAC ID 3971890229, 2 clinicians

Practice addresses (Care Compare)

5900 Pan American Blvd
Unit 103
North Port, FL 34287-3425
Phone (516) 448-6600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1631581NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince May 1, 2016 Accepting new patients
Philippe Noel MD and Anna Berenstein MD PA Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince May 1, 2016 Accepting new patients
Inpatient Consultants of Florida, Inc. Internal Medicine Past Accepting new patients

Locations

5900 Pan American Blvd
Unit 103
North Port, FL 34287
Phone (516) 448-6600

2029 Professional Center Dr
Orange Park, FL 32073
Phone (570) 352-3063

3390 Tamiami Trl
Ste 204
Port Charlotte, FL 33952
Phone (941) 391-5495

3030 N Rocky Point Dr W
Ste 670
Tampa, FL 33607
Phone (813) 289-6597

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1023047875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 TAMIAMI TRL",
            "address_2": "SUITE 204",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528157",
            "telephone_number": "941-391-5496",
            "fax_number": "941-875-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 TAMIAMI TRL",
            "address_2": "SUITE 204",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528157",
            "telephone_number": "941-391-5496",
            "fax_number": "941-875-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERENSTEIN",
        "first_name": "ANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "1631581",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME127835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERPLAN",
            "identifier": "159713",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHFIRST",
            "identifier": "163158A39",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "28756P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "KP359",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI COMMERCIAL",
            "identifier": "0090031",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "171911",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS HEALTHNET OF NE",
            "identifier": "1P0466",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD",
            "identifier": "1631580199001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "ME127835",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040426018134",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "RSX003101",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00932274",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.