NPIMap

Individual provider Active NPI

Xabier Beristain, MD

  • Neurology Physician
  • Columbus, IN
National Provider Identifier
1124025135
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01048980A Issued in IN
Practice address
2138 25TH St Ste F
Columbus, IN 47201-3241
Phone
(812) 376-3100
NPI assigned
Jul 5, 2005
Last updated
Sep 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME129295 FL
Neurology Physician 2084N0400X 01048980A IN Primary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X MD19031 ME

Addresses

Primary practice location

2138 25TH St Ste F
Columbus, IN 47201-3241

Mailing address

PO Box 775383
Chicago, IL 60677-5383
Phone (812) 376-5315

Other practice location 1

3450 11th Ct
Suite 305B
Vero Beach, FL 32960-5012
Phone (772) 770-6848

Other identifiers 1

IdentifierTypeStateIssuer
200345820MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address xberistain39477@edirect.crh.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040923000441 IN Practitioner - Neurology 0840268157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2400 17TH St
Columbus, IN 47201-5351
Phone (812) 376-5974

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.97 of 100Reported as apm
Quality
85.1
Promoting interoperability
94.69
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME129295FLMDNeurology Physician
01048980AINMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Regional Health Physicians, LLC CurrentSince May 1, 2022 Accepting new patients
Columbus Regional Health Physicians, LLC CurrentSince May 1, 2022 Accepting new patients
Mainegeneral Medical Center Neurology Past Accepting new patients
Indiana Neuroscience Assoc Inc Neurology Past Accepting new patients
Major Hospital Past Accepting new patients
University Clinical Neurologists, Inc Neurology Past Accepting new patients
Columbus Regional Health Physicians, LLC Past Accepting new patients

Locations

1655 N Gladstone Ave
Ste A
Columbus, IN 47201
Phone (812) 376-3100

2138 25th St
Ste F
Columbus, IN 47201
Phone (812) 376-3100

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1124025135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775383",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775383",
            "telephone_number": "812-376-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 25TH ST STE F",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472013241",
            "telephone_number": "812-376-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3450 11th Ct",
            "address_2": "Suite 305B",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329605012",
            "country_code": "US",
            "telephone_number": "772-770-6848",
            "fax_number": "772-770-6849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERISTAIN",
        "first_name": "XABIER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME129295",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01048980A",
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "ME",
            "license": "MD19031",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200345820",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "xberistain39477@edirect.crh.org",
            "affiliation": "N",
            "endpointDescription": "Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct address",
            "address_1": "1655 N Gladstone Ave Ste A",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472015380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.