NPIMap

Individual provider Active NPI

Mark Berlacher, M.D.

  • Cardiovascular Disease Physician
  • Ft Wright, KY
National Provider Identifier
1104239797
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
55150 Issued in KY
Practice address
1955 Dixie Hwy Ste E
Ft Wright, KY 41011-2882
Phone
(859) 292-4560
Fax
(859) 292-4561
NPI assigned
Jun 11, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35141460 OH
Student in an Organized Health Care Education/Training Program 390200000X 11017791A IN
Cardiovascular Disease Physician 207RC0000X 55150 KY Primary

Addresses

Primary practice location

1955 Dixie Hwy Ste E
Ft Wright, KY 41011-2882

Mailing address

541 Clinical Drive, CL 626
Indianapolis, IN 46202
Phone (800) 362-2066

Other practice location 1

7545 Beechmont Ave Ste D
Cincinnati, OH 45255-4238
Phone (513) 206-1320

Other identifiers 1

IdentifierTypeStateIssuer
0440583MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210629003408 KY Practitioner - Cardiovascular Disease (Cardiology) 9638394075 Reassigns benefits to 1 organization
I20210629003440 OH Practitioner - Cardiovascular Disease (Cardiology) 9638394075 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55150KYMDCardiovascular Disease Physician
35141460OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Cardiovascular Associates LLC Cardiovascular Disease CurrentSince Aug 16, 2021 Accepting new patients
The Christ Hospital Medical Associates, LLC PastSince Aug 16, 2021 Accepting new patients
Christ Hospital Cardiology Assoc Cardiovascular Disease Past Accepting new patients
Christ Hospital Past Accepting new patients

Locations

1955 Dixie Hwy
Ste E
Ft Wright, KY 41011
Phone (859) 292-4560

7545 Beechmont Ave
Ste D
Cincinnati, OH 45255
Phone (513) 206-1060

2123 Auburn Ave
Ste 136
Cincinnati, OH 45219
Phone (513) 206-1060

Interoperability endpoints

  • Direct secure messaging: mberlacher81002@direct.phhs.org

Organizations & group practices 4

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 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Toledo College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Christ Hospital Cardiovascular Associates LLC 151 clinicians

Practice addresses (Care Compare)

1955 Dixie Hwy
Suite E
Ft Wright, KY 41011-2882
Phone (859) 292-4560

7545 Beechmont Ave
Suite D
Cincinnati, OH 45255-4238
Phone (513) 206-1320

Hospital & facility affiliations

  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163
  • Mercy Health-Anderson Hospital Hospital, Cincinnati, OH, CCN 360001
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • Margaret Mary Community Hospital Inc Hospital, Batesville, IN, CCN 151329
  • Mercy Health - Clermont Hospital Hospital, Batavia, OH, CCN 360236

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
77.64
Promoting interoperability
100
Improvement activities
40
Cost
77.68

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1104239797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 CLINICAL DRIVE, CL 626",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46202",
            "telephone_number": "800-362-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 DIXIE HWY STE E",
            "city": "FT WRIGHT",
            "state": "KY",
            "postal_code": "410112882",
            "telephone_number": "859-292-4560",
            "fax_number": "859-292-4561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7545 Beechmont Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452554238",
            "country_code": "US",
            "telephone_number": "513-206-1320",
            "fax_number": "513-232-8483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERLACHER",
        "first_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-11",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35141460",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "11017791A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "55150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0440583",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Wright, KY

Sources for this page

Verify at the official NPI Registry.