Individual provider Active NPI

Beth Anne Berrettoni, MD

  • Orthopaedic Hand Surgery Physician
  • Dayton, OH
National Provider Identifier
1124022645
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
35054146 Issued in OH
Practice address
2350 Miami Valley Dr
Ste 310
Dayton, OH 45459-4778
Phone
(937) 435-4263
Fax
(937) 298-9459
NPI assigned
Jun 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 35054146 OH Primary

Addresses

Primary practice location

2350 Miami Valley Dr
Ste 310
Dayton, OH 45459-4778

Mailing address

2350 Miami Valley Dr
Ste 310
Dayton, OH 45459-4778
Phone (937) 435-4263

Other identifiers 4

IdentifierTypeStateIssuer
09-20041OtherOHUNITED HEALTHCARE
D54146OtherOHCHOICE CARE
000000013732OtherOHANTHEM
0878019MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120110000630 OH Practitioner - Hand Surgery 7810187150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand Surgery
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

1 Wyoming St
Dayton, OH 45409-2722

1 Wyoming St
Berry Women'S Center Labor and Delivery
Dayton, OH 45409-2939
Phone (937) 439-4381

2400 Miami Valley Dr
Centerville, OH 45459-4774

30 E Apple St
Dayton, OH 45409-2939

450 N Hyatt St
Suite 304
Tipp City, OH 45371-1433
Phone (937) 832-4773

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35054146OHMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc CurrentSince Jun 1, 2012 Accepting new patients
Premier Health Specialists Inc Current Accepting new patients
Premier Health Specialists Inc CurrentSince Jun 1, 2012 Accepting new patients
Hand and Reconstructive Surgeons Inc Hand Surgery PastSince Mar 18, 2010 Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients

Locations

2400 Miami Valley Dr
Ste 280
Centerville, OH 45459
Phone (937) 435-4263

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

2350 Miami Valley Dr
Ste 310
Dayton, OH 45459
Phone (937) 435-4263

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

Organizations & group practices 5

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1124022645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 MIAMI VALLEY DR",
            "address_2": "STE 310",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594778",
            "telephone_number": "937-435-4263",
            "fax_number": "937-298-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 MIAMI VALLEY DR",
            "address_2": "STE 310",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594778",
            "telephone_number": "937-435-4263",
            "fax_number": "937-298-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRETTONI",
        "first_name": "BETH ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "OH",
            "license": "35054146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "09-20041",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHOICE CARE",
            "identifier": "D54146",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000013732",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0878019",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.