Individual provider Active NPI

Nathan Berry, M.D.

  • Ophthalmology Physician
  • Burleson, TX
National Provider Identifier
1093760332
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
L5249 Issued in TX
Practice address
2790 SW Wilshire Blvd
Burleson, TX 76028-8338
Phone
(817) 484-2020
Fax
(817) 484-2015
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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 L5249 TX Primary

Addresses

Primary practice location

2790 SW Wilshire Blvd
Burleson, TX 76028-8338

Mailing address

2790 SW Wilshire Blvd
Burleson, TX 76028-8338
Phone (817) 484-2020

Other identifiers 1

IdentifierTypeStateIssuer
160222901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20091105000626 TX Practitioner - Ophthalmology 8628130127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Texas Tech University Health Science Center School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berry Eye Center PAGroup PAC ID 1254479538, 3 clinicians

Practice addresses (Care Compare)

12001 S Frwy
Suite 101
Burleson, TX 76028-7214
Phone (807) 615-4400

2790 SW Wilshire Blvd
Burleson, TX 76028-8338
Phone (817) 484-2020

Merit-based Incentive Payment System (MIPS)

Final score
92.37 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Berry Eye Center PA Ophthalmology CurrentSince Nov 3, 2009 Accepting new patients

Locations

2790 SW Wilshire Blvd
Burleson, TX 76028
Phone (817) 484-2020

12001 South Fwy
Ste 101
Burleson, TX 76028
Phone (807) 615-4400

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.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1093760332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 SW WILSHIRE BLVD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760288338",
            "telephone_number": "817-484-2020",
            "fax_number": "817-484-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 SW WILSHIRE BLVD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760288338",
            "telephone_number": "817-484-2020",
            "fax_number": "817-484-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "NATHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L5249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160222901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.