Active NPI
Chrystal Summer Rose Berg, D.P.M.
- Podiatrist
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- POD-663
- Practice address
- 777 Bannock St
MC 0188
Denver, CO 80204-4507 - Phone
- (303) 436-6131
- Fax
- (303) 436-6572
- NPI assigned
- May 3, 2007
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | POD-663 | CO | Primary |
Addresses
Primary practice location
777 Bannock St
MC 0188
Denver, CO 80204-4507
Mailing address
1010 N Country Club Dr
Mesa, AZ 85201-3309
Phone (480) 461-2409
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 W Monument St
Colorado Springs, CO 80903-3216
Phone (719) 635-6300
168 N Clinton St
FL 3
Chicago, IL 60661-1425
Phone (847) 504-5000
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.82 of 100
- Quality
- 72.99
- Improvement activities
- 40
- Cost
- 75.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 34 |
| Removal of nail tissue | 2155 |
| Removal or shaving of skin growth | 779 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POD-663 | CO | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Podiatry Group PC | Podiatrist | Current | Accepting new patients |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients |
Locations
10 W Monument St
Colorado Springs, CO 80903
Phone (719) 635-6300
777 Bannock St
#188
Denver, CO 80204
Phone (303) 602-1590
777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714
777 Bannock St
Denver, CO 80204
1330 Sidney Ave
Sterling, CO 80751
Phone (970) 522-4888
168 N Clinton St
Fl 3
Chicago, IL 60661
Phone (201) 856-0224
1201 N Alton St
Lebanon, IL 62254
Phone (618) 537-4401
Organizations & group practices 3
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.
-
- General Practice Physician
- Denver, CO
- NPI 1477569838
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240963200000",
"number": "1023230802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 N COUNTRY CLUB DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852013309",
"telephone_number": "480-461-2409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 BANNOCK ST",
"address_2": "MC 0188",
"city": "DENVER",
"state": "CO",
"postal_code": "802044507",
"telephone_number": "303-436-6131",
"fax_number": "303-436-6572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERG",
"first_name": "CHRYSTAL",
"middle_name": "SUMMER ROSE",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2009-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CO",
"license": "POD-663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.