Active NPI
Jeremy S Berg, D.O.
- Critical Care Medicine (Internal Medicine) Physician
- Delray Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- OS19796
- Practice address
- 5430 Linton Blvd
Delray Beach, FL 33484-6512 - Phone
- (847) 386-7744
- NPI assigned
- Feb 25, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | OS19796 | FL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | OS19796 | FL | Primary |
| Pulmonary Disease Physician | 207RP1001X | 036120085 | IL |
Addresses
Primary practice location
5430 Linton Blvd
Delray Beach, FL 33484-6512
Mailing address
172 E Schiller St
Elmhurst, IL 60126-2816
Phone (630) 941-2638
Other practice location 1
800 Biesterfield Rd Ste 510
Elk Grove Village, IL 60007-3367
Phone (847) 437-5500
Other practice location 2
172 E Schiller St
Elmhurst, IL 60126-2816
Phone (630) 941-2638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230913002394 | FL | Practitioner - Critical Care (Intensivists) | 2961580832 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Michigan State University College of Osteopathic Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Intensive Care Consortium Inc
Practice addresses (Care Compare)
5301 S Congress Ave
Atlantis, FL 33462-1149
Phone (561) 965-7300
Hospital & facility affiliations
- HCA Florida JFK Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.72 of 100
- Quality
- 75.99
- Improvement activities
- 40
- Cost
- 77.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS19796 | FL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intensive Care Consortium Inc | Critical Care Medicine | Current | Accepting new patients |
| Elmhurst Memorial Healthcare | Past | Accepting new patients | |
| Alexian Brothers Medical Care Group NFP | Critical Care Medicine | Past | Accepting new patients |
Locations
5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- jeremy.berg@hca4.eclinicaldirectplus.com
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.
-
- Pulmonary Disease Physician
- Elk Grove Village, IL
- NPI 1518420413
Critical Care Medicine
-
- Multi-Specialty Clinic/Center
- Elmhurst, IL
- NPI 1457493454
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlantis, FL
- NPI 1326085424
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1104095157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 E SCHILLER ST",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262816",
"telephone_number": "630-941-2638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5430 LINTON BLVD",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334846512",
"telephone_number": "847-386-7744"
}
],
"practiceLocations": [
{
"address_1": "800 Biesterfield Rd Ste 510",
"address_purpose": "LOCATION",
"city": "Elk Grove Village",
"state": "IL",
"postal_code": "600073367",
"country_code": "US",
"telephone_number": "847-437-5500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "172 E Schiller St",
"address_purpose": "LOCATION",
"city": "Elmhurst",
"state": "IL",
"postal_code": "601262816",
"country_code": "US",
"telephone_number": "630-941-2638",
"fax_number": "630-941-2642",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERG",
"first_name": "JEREMY",
"middle_name": "S",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-25",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "OS19796",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "OS19796",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036120085",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.