NPIMap

Individual provider Active NPI

Berj Movsess Nercessian, M.D.

  • Rheumatology Physician
  • Sterling Heights, MI
National Provider Identifier
1093705329
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
4301057075 Issued in MI
Practice address
37300 Dequindre Rd.
Ste 138
Sterling Heights, MI 48310
Phone
(586) 275-0461
Fax
(586) 275-0462
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 4301057075 MI Primary

Addresses

Primary practice location

37300 Dequindre Rd.
Ste 138
Sterling Heights, MI 48310

Mailing address

37300 Dequindre Rd.
Ste 138
Sterling Heights, MI 48310
Phone (586) 275-0461

Other identifiers 1

IdentifierTypeStateIssuer
3446435MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110207000508 MI Practitioner - RheumatologyPractitioner - Internal Medicine 7012197106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

37300 Dequindre Rd
Suite 138
Sterling Heights, MI 48310-3595
Phone (586) 275-0461

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301057075MIMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis and Internal Medicine, P.C. CurrentSince Apr 13, 1998 Accepting new patients

Locations

37300 Dequindre Rd
Ste 138
Sterling Hts, MI 48310
Phone (586) 275-0461

Interoperability endpoints

  • Direct secure messaging: bnercessian1248710@epic00.shdirect.org

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 11

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1093705329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37300 DEQUINDRE RD.",
            "address_2": "STE 138",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48310",
            "telephone_number": "586-275-0461",
            "fax_number": "586-275-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37300 DEQUINDRE RD.",
            "address_2": "STE 138",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48310",
            "telephone_number": "586-275-0461",
            "fax_number": "586-275-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERCESSIAN",
        "first_name": "BERJ",
        "middle_name": "MOVSESS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MI",
            "license": "4301057075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3446435",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.