Active NPI
Kirsten Berman, M.D.
- Internal Medicine Physician
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 19845
- Practice address
- 175 Fore River Pkwy
Portland, ME 04102-2779 - Phone
- (207) 857-8040
- Fax
- (207) 275-4828
- NPI assigned
- Jan 26, 2006
- Last updated
- Nov 16, 2023
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 19845 | ME | Primary |
Addresses
Primary practice location
175 Fore River Pkwy
Portland, ME 04102-2779
Mailing address
175 Fore River Pkwy
Portland, ME 04102-2779
Phone (207) 857-8040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.67 of 100
- Quality
- 60.7
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 73.8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19845 | ME | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital | Current | Accepting new patients | |
| Mercy Hospital | Current | Accepting new patients | |
| Mercy Hospital | Current | Accepting new patients | |
| Pinnacle Group of Hudson Valley IV LLC | Past | Accepting new patients | |
| Ah Inn Associates LLC | Past | Accepting new patients | |
| Holyoke Health Center Inc. | Past | Accepting new patients | |
| Horizons Living and Rehab Center, Inc | Past | Accepting new patients | |
| Holyoke Health Center Inc. | Past | Accepting new patients |
Locations
175 Fore River Pkwy
Portland, ME 04102
Phone (207) 553-6105
40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Horizons Living and Rehab Center, Inc | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2023 Mar 17, 2025 |
| Compassus - Greater Maine | Hospice | Contracted Managing Employee | Oct 1, 2018 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Nursing Facility/Intermediate Care Facility
- Brunswick, ME
- NPI 1699073080
Adp of the SNF, Operational/Managerial Control
-
- Community Based Hospice Care Agency
- Scarborough, ME
- NPI 1144573403
Contracted Managing Employee
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Portland, ME
- NPI 1629078712
-
dba Northern Light Mercy Health Center
- Rural Health Clinic/Center
- Windham, ME
- NPI 1396496378
-
- Nursing Facility/Intermediate Care Facility
- Brunswick, ME
- NPI 1699073080
-
dba Pinnacle Health & Rehab at South Portland
- Skilled Nursing Facility
- S Portland, ME
- NPI 1154973063
-
dba Chicopee Health Center
- Community Health Clinic/Center
- Chicopee, MA
- NPI 1518948595
-
- Community Health Clinic/Center
- Holyoke, MA
- NPI 1740271022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1043280431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 FORE RIVER PKWY",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022779",
"telephone_number": "207-857-8040",
"fax_number": "207-275-4828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 FORE RIVER PKWY",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022779",
"telephone_number": "207-857-8040",
"fax_number": "207-275-4828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMAN",
"first_name": "KIRSTEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ME",
"license": "19845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.