Active NPI
Steven Berger, MD
- Student in an Organized Health Care Education/Training Program
- Falls Church, VA
National Provider Identifier
1104556141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 0116036397
- Practice address
- 3300 Gallows Rd
Inova Fairfax Medical Campus, Department of Medicine
Falls Church, VA 22042 - Phone
- (703) 776-3582
- NPI assigned
- Jun 13, 2022
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116036397 | VA | Primary |
Addresses
Primary practice location
3300 Gallows Rd
Inova Fairfax Medical Campus, Department of Medicine
Falls Church, VA 22042
Mailing address
3300 Gallows Rd
Inova Fairfax Medical Campus, Department of Medicine
Falls Church, VA 22042
Phone (703) 776-3582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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 |
|---|---|---|---|---|
| I20240419002300 | VA | Order and Referring Only - Internal Medicine | 6002255239 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116036397 | VA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1104556141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 GALLOWS RD",
"address_2": "INOVA FAIRFAX MEDICAL CAMPUS, DEPARTMENT OF MEDICINE",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "22042",
"telephone_number": "703-776-3582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 GALLOWS RD",
"address_2": "INOVA FAIRFAX MEDICAL CAMPUS, DEPARTMENT OF MEDICINE",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "22042",
"telephone_number": "703-776-3582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-13",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0116036397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.