Individual provider Active NPI

Monica Beri, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Chattanooga, TN
National Provider Identifier
1053539684
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
46899 Issued in TN
Practice address
425 Cumberland St
Chattanooga, TN 37404-1909
Phone
(423) 698-0802
NPI assigned
Apr 20, 2007
Last updated
Dec 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 46899 TN Primary

Addresses

Primary practice location

425 Cumberland St
Chattanooga, TN 37404-1909

Mailing address

2316 Covington Cove LN
Signal Mountain, TN 37377-1277
Phone (615) 349-2873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20230824001541 TN Practitioner - Internal Medicine 7911209689 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of Tennessee State F & a Payroll CurrentSince Jul 10, 2023 Accepting new patients
State of Tennessee CurrentSince Jul 10, 2023 Accepting new patients
State of Tennessee Current Accepting new patients
Alexian Brothers Community Services Past Accepting new patients

Locations

100 Moccasin Bend Rd
Chattanooga, TN 37405
Phone (423) 785-3321

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1053539684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 COVINGTON COVE LN",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373771277",
            "telephone_number": "615-349-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 CUMBERLAND ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041909",
            "telephone_number": "423-698-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERI",
        "first_name": "MONICA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TN",
            "license": "46899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.