Individual provider Active NPI

Neesha Rochelle Berry, M.D.

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1134320930
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301081792 Issued in MI
Practice address
26400 W 12 Mile Rd Ste 110
Southfield, MI 48034-1771
Phone
(248) 833-6300
Fax
(248) 833-6200
NPI assigned
May 30, 2007
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301081792 MI Primary

Addresses

Primary practice location

26400 W 12 Mile Rd Ste 110
Southfield, MI 48034-1771

Mailing address

30123 Rock Creek Dr
Southfield, MI 48076-5358
Phone (313) 516-1641

Other names 1

  • Mrs. Neesha Rochelle Griffin-Berry Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20071120000291 MI Practitioner - Internal MedicinePractitioner - Family Practice 1850489105 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Wayne State University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Berry Johnson Health, PLLCGroup PAC ID 5294141164, 2 clinicians

Practice addresses (Care Compare)

26400 W 12 Mile Rd
Suite 110
Southfield, MI 48034-1771
Phone (248) 833-6300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301081792MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berry Johnson Health PLLC Internal Medicine CurrentSince Apr 1, 2021 Accepting new patients
St Mary Mercy Physician Practices CurrentSince Dec 1, 2013 Accepting new patients
St Mary Mercy Physician Practices CurrentSince Dec 1, 2013 Accepting new patients

Locations

36650 Grand River Ave
Ste 101
Farmington Hills, MI 48335
Phone (734) 655-8220

14555 Levan Rd
Ste 112
Livonia, MI 48154
Phone (734) 712-1000

19000 St Joes Pkwy
Ste 310
Livonia, MI 48152
Phone (248) 743-4490

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

26400 W 12 Mile Rd
Ste 110
Southfield, MI 48034
Phone (248) 355-3875

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJGECD/Endpoint/CJGECD
  • Direct secure messaging: nberry1117376@direct.hfhs.org
  • Direct secure messaging: nberry810038@direct.hfhs.org

Organizations & group practices 3

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 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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1134320930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30123 ROCK CREEK DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765358",
            "telephone_number": "313-516-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26400 W 12 MILE RD STE 110",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341771",
            "telephone_number": "248-833-6300",
            "fax_number": "248-833-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "NEESHA",
        "middle_name": "ROCHELLE",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301081792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEESHA",
            "last_name": "GRIFFIN-BERRY",
            "middle_name": "ROCHELLE",
            "prefix": "MRS.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.