Active NPI
Todd Matthew Berry, MD
- Diagnostic Radiology Physician
- Norfolk, VA
National Provider Identifier
1093977571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101246735
- Practice address
- 110 Kingsley LN Ste 305
Norfolk, VA 23505-4617 - Phone
- (757) 889-5422
- Fax
- (757) 889-5450
- NPI assigned
- Jun 26, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0101246735 | VA | Primary |
Addresses
Primary practice location
110 Kingsley LN Ste 305
Norfolk, VA 23505-4617
Mailing address
110 Kingsley LN Ste 305
Norfolk, VA 23505-4617
Phone (757) 889-5422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093977571 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.4 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 77.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCV Associated Physicians | Diagnostic Radiology | Past | Accepting new patients |
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": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560902400000",
"number": "1093977571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 KINGSLEY LN STE 305",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235054617",
"telephone_number": "757-889-5422",
"fax_number": "757-889-5450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 KINGSLEY LN STE 305",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235054617",
"telephone_number": "757-889-5422",
"fax_number": "757-889-5450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "TODD",
"middle_name": "MATTHEW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-26",
"last_updated": "2019-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101246735",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093977571",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.