Active NPI
Alan Keith Berger, MD
- Interventional Cardiology Physician
- Sunnyside, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- MD61283705
- Practice address
- 1016 Tacoma Ave
Sunnyside, WA 98944-2263 - Phone
- (509) 837-1500
- Fax
- (509) 837-4908
- NPI assigned
- Jun 19, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 42601 | MN | |
| Cardiovascular Disease Physician | 207RC0000X | 42601 | MN | |
| Interventional Cardiology Physician | 207RI0011X | 42601 | MN | |
| Interventional Cardiology Physician | 207RI0011X | MD61283705 | WA | Primary |
Addresses
Primary practice location
1016 Tacoma Ave
Sunnyside, WA 98944-2263
Mailing address
4250 Norwood LN N # 4250
Plymouth, MN 55442-2743
Phone (612) 281-3890
Other practice location 1
4250 Norwood Ln N
Plymouth, MN 55442-2743
Phone (612) 281-3890
Other practice location 2
1130 W 4th St Ste 2050
Lawrence, KS 66044-1333
Phone (785) 505-3636
Other practice location 3
502 W 4th Ave
Toppenish, WA 98948-1616
Phone (509) 865-3105
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1052867 | Other | MN | ARAZ |
| 497450600 | Medicaid | MN | |
| 78R84BE | Other | MN | BCBS |
| 25-00021 | Other | MN | MEDICA PRIMARY |
| 127912 | Other | MN | UCARE |
| 25-00346 | Other | MN | MEDICA CHOICE |
| 30004807510001 | Medicaid | KS | |
| 0532846 | Medicaid | IA | |
| 7777470 | Medicaid | SD | |
| 10387 | Medicaid | ND | |
| HP31264 | Other | MN | HEALTHPARTNERS |
| 1024708 | Other | MN | PREFERRED ONE |
| 2258647 | Medicaid | WA | |
| 34016800 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | alan.berger@direct.lmh.org | Direct | |
| Direct Messaging Address | aberger359428@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI, NE, WA, KY, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070122000049 | MN | Practitioner - Cardiovascular Disease (Cardiology) | 6709887656 | Reassigns benefits to 5 organizations |
| I20220321001036 | WI | Practitioner - Cardiovascular Disease (Cardiology) | 6709887656 | Reassigns benefits to 17 organizations |
| I20220513002122 | NE | Practitioner - Interventional Cardiology | 6709887656 | Reassigns benefits to 2 organizations |
| I20231004000325 | WA | Practitioner - Interventional Cardiology | 6709887656 | Reassigns benefits to 2 organizations |
| I20231212003949 | KY | Practitioner - Cardiovascular Disease (Cardiology) | 6709887656 | Reassigns benefits to 1 organization |
| I20241010002770 | MI | Practitioner - Cardiovascular Disease (Cardiology) | 6709887656 | Reassigns benefits to 7 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Langlade Hospital - Hotel Dieu of St Joseph of Antigo WisconsinAspirus Stanley Hospital and Clinics IncAspirus Eagle River Hospital and Clinics, IncAspirus KeweenawAspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.Howard Young Medical Center Inc of Woodruff WisconsinDivine Savior Healthcare IncRCCH Trios Health LLCProvidence Health and Services - WashingtonAspirus Riverview Hospital and Clinics IncFroedtert Andthe Medical College of Wisconsin Community Physicians IncAspirus Stevens Point Hospital and Clinics, Inc.Aspirus Ironwood Hospital and Clinics Inc
Practice addresses (Care Compare)
110 E 5TH Ave
Antigo, WI 54409-2710
Phone (715) 623-2351
112 E 5TH Ave
Antigo, WI 54409-2710
Phone (715) 623-2331
1120 Pine St
Stanley, WI 54768-1297
Phone (715) 644-5530
201 Hospital Rd
Eagle River, WI 54521-8835
Phone (715) 479-7411
205 Osceola St
Laurium, MI 49913-2134
Phone (906) 337-3100
2251 N Shore Dr
Rhinelander, WI 54501-6710
Phone (715) 361-2000
240 Maple St
Woodruff, WI 54568-9190
Phone (715) 356-8000
2817 New Pinery Rd
Portage, WI 53901-9240
Phone (608) 742-4131
3810 Plaza Way
Kennewick, WA 99338-2722
Phone (509) 221-7000
401 W Mohawk Dr
Suite 100
Tomahawk, WI 54487-2273
Phone (715) 361-2000
401 W Poplar St
Walla Walla, WA 99362-2846
Phone (509) 897-3320
410 Dewey St
Wisconsin Rapids, WI 54494-4715
Phone (715) 423-6060
420 Dewey St
Wisconsin Rapids, WI 54494-4714
Phone (715) 422-7750
4805 S Moorland Rd
New Berlin, WI 53151-7401
Phone (262) 798-7200
900 Illinois Ave
Stevens Point, WI 54481-3114
Phone (715) 346-5000
N10561 Grandview LN
Ironwood, MI 49938-9622
Phone (906) 932-2525
Hospital & facility affiliations
- Trios Health
- Providence St Mary Medical Center
- Kadlec Regional Medical Center
- Good Shepherd Medical Center
- Lourdes Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 34 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42601 | MN | MD | Cardiovascular Disease Physician |
| MD61283705 | WA | MD | Interventional Cardiology Physician |
Practice roles
Locations (25 of 60)
29980 Network Pl
Chicago, IL 60673
325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988
100 Airport Gardens Rd
Hazard, KY 41701
Phone (606) 487-7503
713 Broadway St
Ste 103
Paintsville, KY 41240
Phone (606) 372-1400
5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645
5000 Ky Route 321
Ste 1001
Prestonsburg, KY 41653
Phone (606) 889-6390
1000 Cedar St
Houghton, MI 49931
Phone (906) 482-8201
1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121
N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500
N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500
205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
516 Delaware St SE
Fl Third
Minneapolis, MN 55455
Phone (612) 625-3600
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
3033 Excelsior Blvd
Ste 275
Minneapolis, MN 55416
Phone (612) 827-4751
400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203
3809 42nd Ave S
Minneapolis, MN 55406
Phone (612) 407-7213
420 Delaware St SE
#126
Minneapolis, MN 55455
Phone (612) 626-2378
516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600
420 Delaware St SE
#508
Minneapolis, MN 55455
Phone (612) 625-4401
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
Interoperability endpoints
- alanberger@mmc.medalliesdirect.net
- aberger572282@direct.froedtert.com
- aberger359428@ewd.direct.hshs.org
- alan.berger.1@18485.direct.athenahealth.com
Organizations & group practices 121
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.
-
- Family Medicine Physician
- Walla Walla, WA
- NPI 1922259738
Internal Medicine, WA
-
- Internal Medicine Physician
- Kennewick, WA
- NPI 1831682806
Internal Medicine, WA
-
- Family Medicine Physician
- Ironwood, MI
- NPI 1992704753
Internal Medicine, MI, WI
-
- General Acute Care Hospital
- Wisconsin Rapids, WI
- NPI 1295754844
WI
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
WI
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
Internal Medicine, WI
-
- Rural Health Clinic/Center
- Elcho, WI
- NPI 1831251040
WI
-
- Critical Access Hospital
- Antigo, WI
- NPI 1639187412
WI
-
- Critical Access Hospital
- Eagle River, WI
- NPI 1346204385
WI
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Walla Walla, WA
- NPI 1386895886
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1104861350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4250 NORWOOD LN N # 4250",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554422743",
"telephone_number": "612-281-3890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 TACOMA AVE",
"city": "SUNNYSIDE",
"state": "WA",
"postal_code": "989442263",
"telephone_number": "509-837-1500",
"fax_number": "509-837-4908"
}
],
"practiceLocations": [
{
"address_1": "4250 Norwood Ln N",
"address_purpose": "LOCATION",
"city": "Plymouth",
"state": "MN",
"postal_code": "554422743",
"country_code": "US",
"telephone_number": "612-281-3890",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1130 W 4th St Ste 2050",
"address_purpose": "LOCATION",
"city": "Lawrence",
"state": "KS",
"postal_code": "660441333",
"country_code": "US",
"telephone_number": "785-505-3636",
"fax_number": "785-505-5210",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "502 W 4th Ave",
"address_purpose": "LOCATION",
"city": "Toppenish",
"state": "WA",
"postal_code": "989481616",
"country_code": "US",
"telephone_number": "509-865-3105",
"fax_number": "509-865-1519",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERGER",
"first_name": "ALAN",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2025-07-07",
"certification_date": "2025-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "42601",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MN",
"license": "42601",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MN",
"license": "42601",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "WA",
"license": "MD61283705",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ",
"identifier": "1052867",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "497450600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "78R84BE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA PRIMARY",
"identifier": "25-00021",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "127912",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA CHOICE",
"identifier": "25-00346",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30004807510001",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0532846",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7777470",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10387",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP31264",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1024708",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2258647",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34016800",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "alan.berger@direct.lmh.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1130 W 4th St Ste 2050",
"city": "Lawrence",
"state": "KS",
"country_code": "US",
"postal_code": "660441333",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aberger359428@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "3100 Superior Ave",
"city": "Sheboygan",
"state": "WI",
"country_code": "US",
"postal_code": "530811948",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sunnyside, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.