Individual provider Active NPI

Hugh E Berckmueller, MD

  • Ophthalmology Physician
  • Newport News, VA
National Provider Identifier
1093701682
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101056628 Issued in VA
Practice address
704 Thimble Shoals Blvd
#100
Newport News, VA 23606-4544
Phone
(757) 595-8404
Fax
(757) 595-8353
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101056628 VA Primary

Addresses

Primary practice location

704 Thimble Shoals Blvd
#100
Newport News, VA 23606-4544

Mailing address

704 Thimble Shoals Blvd
#100
Newport News, VA 23606-4544
Phone (757) 595-8404

Other identifiers 4

IdentifierTypeStateIssuer
282367OtherVAMAMSI/OPTIMUM CHOICE
22805OtherVAOPTIMA
317213OtherVABLUE CROSS BLUE SHIELD
00630876MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110128000599 VA Practitioner - Ophthalmology 9032398540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Cincinnati College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James River Eye Physicians PC 4 clinicians

Practice addresses (Care Compare)

704 Thimble Shoals Blvd
Suite 100
Newport News, VA 23606-4544
Phone (757) 595-8404

Hospital & facility affiliations

  • Mary Immaculate Hospital Hospital, Newport News, VA, CCN 490041

Merit-based Incentive Payment System (MIPS)

Final score
91.71 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery158

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101056628VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James River Eye Physicians PC Ophthalmology CurrentSince Jul 6, 2000 Accepting new patients

Locations

704 Thimble Shoals Blvd
Ste 100
Newport News, VA 23606
Phone (757) 595-3252

11747 Jefferson Ave
Ste 6C
Newport News, VA 23606
Phone (757) 289-8471

704 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 508-6384

Interoperability endpoints

  • Direct secure messaging: hberckmueller@jreppc.intellechartdirect.net

Organizations & group practices 1

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1093701682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 THIMBLE SHOALS BLVD",
            "address_2": "#100",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064544",
            "telephone_number": "757-595-8404",
            "fax_number": "757-595-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 THIMBLE SHOALS BLVD",
            "address_2": "#100",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064544",
            "telephone_number": "757-595-8404",
            "fax_number": "757-595-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERCKMUELLER",
        "first_name": "HUGH",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101056628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI/OPTIMUM CHOICE",
            "identifier": "282367",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "22805",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "317213",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00630876",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.