Ali Noureddine Berro, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704297549 Issued in MI

Practice address

3270 Greenfield Rd
Berkley, MI 48072-1161

Phone

(248) 268-1525

NPI assigned

Sep 12, 2018

Last updated

Sep 12, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Ohio Medical University, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Berkley Urgent Care PLLCGroup PAC ID 7315167632, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Berkley Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Berkley, MI
  • NPI 1083022735
  Medicare reassignment Care Compare group NPD
• Express Health Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Redford, MI
  • NPI 1265157697
  Medicare reassignment NPD
• Center Street Pharmacy PLLC

  dba Center Street Pharmacy

  • Community/Retail Pharmacy
  • Northville, MI
  • NPI 1043109259
  NPD (past)

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

• William Beaumont Hospital

  dba Beaumont Hospital, Troy

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Royal Oak

  • General Acute Care Hospital
  • Royal Oak, MI
  • NPI 1689653305
  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Grosse Pointe

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  Care Compare affiliation

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1104309400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 GREENFIELD RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721161",
            "telephone_number": "248-268-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 GREENFIELD RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721161",
            "telephone_number": "248-268-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRO",
        "first_name": "ALI",
        "middle_name": "NOUREDDINE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704297549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berkley Medical Centers PC
• Berkley Urgent Care PLLC
• Mariya Aleksandrovna Berkovich
• Kathleen Marie Berkowitz, L.M.S.W.
• Tyler Bernstein
• Bethany S. Gourley, LLC
• Roger William Black, D.D.S.
• Brandy Blackston, PA-C
• Bmcnh PC
• Alan Bolton, MD

• Family Nurse Practitioner in Berkley, MI
• Providers in Berkley, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.

Verify at the official NPI Registry.