NPIMap

Individual provider Active NPI

Conceicao Maria Berkowitz, CRNA

  • Anesthesiology Physician
  • Tappahannock, VA
National Provider Identifier
1124015391
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0024169001 Issued in VA
Practice address
618 Hospital Rd
Tappahannock, VA 22560-5000
Phone
(804) 443-3311
NPI assigned
Oct 4, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0024169001 VA Primary

Addresses

Primary practice location

618 Hospital Rd
Tappahannock, VA 22560-5000

Mailing address

6902 Park Ave
Richmond, VA 23226-3622
Phone (804) 690-2754

Other practice location 1

3000 Hospital Blvd
Roswell, GA 30076-4915
Phone (770) 751-2500

Other identifiers 3

IdentifierTypeStateIssuer
000859724DMedicaidGA
000859724EMedicaidGA
P00102431OtherGARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
0024169001VAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Fulton Anesthesia Associates PC Anesthesiology PastSince Aug 13, 2023 Accepting new patients
Ahp of Georgia, LLC Anesthesiology PastSince Aug 1, 2004 Accepting new patients
Capitol Anesthesiology, PC Anesthesiology Past Accepting new patients
Ahp of Central Georgia, PC Anesthesiology Past Accepting new patients
Amsol Anesthetists of Georgia, LLC Anesthesiology Past Accepting new patients
Ambulatory Anesthesia of Atlanta, P C Anesthesiology Past Accepting new patients
Eclipse Anesthesia LLC Anesthesiology Past Accepting new patients
Progressive Anesthesia Consultants, LLC Anesthesiology Past Accepting new patients

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1124015391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6902 PARK AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263622",
            "telephone_number": "804-690-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 HOSPITAL RD",
            "city": "TAPPAHANNOCK",
            "state": "VA",
            "postal_code": "225605000",
            "telephone_number": "804-443-3311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Hospital Blvd",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300764915",
            "country_code": "US",
            "telephone_number": "770-751-2500",
            "fax_number": "770-751-2609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERKOWITZ",
        "first_name": "CONCEICAO",
        "middle_name": "MARIA",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0024169001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000859724D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000859724E",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00102431",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tappahannock, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.