Individual provider Active NPI

Donald Stuart Berry, D.O., D.C.

  • Public Health & General Preventive Medicine Physician
  • Janesville, WI
National Provider Identifier
1063539625
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
77025-21 Issued in WI
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

Updated by the provider on May 20, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241017001024 WI Practitioner - Preventive Medicine 2668853599 Reassigns benefits to 2 organizations
I20241204000146 IL Practitioner - Preventive Medicine 2668853599 Reassigns benefits to 2 organizations

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 CorporationGroup PAC ID 7416860440, shared by 14 NPIs, 749 clinicians

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 100Reported as apm
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

LicenseStateTypeSpecialty
77025-21WIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health System Corporation CurrentSince Aug 1, 2024 Accepting new patients
Rockford Health Physicians CurrentSince Oct 26, 2024 Accepting new patients
Mercy Health System Corporation CurrentSince Aug 1, 2024 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.