Active NPI
Donald Stuart Berry, D.O., D.C.
- Public Health & General Preventive Medicine Physician
- Janesville, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 77025-21
- Practice address
- 3130 Windsor LN
Janesville, WI 53546-1906 - Phone
- (608) 746-3585
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology Physician | 207ZC0006X | 77025-21 | WI | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 77025-21 | WI | Primary |
| General Practice Physician | 208D00000X | 77025-21 | WI | |
| Public Health or Welfare Agency | 251K00000X | 77025-21 | WI |
Addresses
Primary practice location
3130 Windsor LN
Janesville, WI 53546-1906
Mailing address
3130 Windsor LN
Janesville, WI 53546-1906
Phone (608) 746-3585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Preventive Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health System Corporation
Practice addresses (Care Compare)
1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6000
2000 Lake Ave
Woodstock, IL 60098-7401
Phone (815) 337-7100
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.14 of 100
- Quality
- 88.29
- Promoting interoperability
- 98.25
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77025-21 | WI | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current | Accepting new patients | |
| Rockford Health Physicians | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500
348 S Division St
Harvard, IL 60033
Phone (815) 943-1122
8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066
3401 N Perryville Rd
Rockford, IL 61114
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
2000 Lake Ave
Woodstock, IL 60098
Phone (815) 337-4116
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535
Interoperability endpoints
- dberry117829@direct.mhemail.org
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.
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1063539625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3130 WINDSOR LN",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535461906",
"telephone_number": "608-746-3585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 WINDSOR LN",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535461906",
"telephone_number": "608-746-3585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "DONALD",
"middle_name": "STUART",
"name_prefix": "Dr.",
"credential": "D.O., D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0006X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology",
"state": "WI",
"license": "77025-21",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "WI",
"license": "77025-21",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WI",
"license": "77025-21",
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "WI",
"license": "77025-21",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.