Individual provider Active NPI

Cathy J Berry, MD

  • Obstetrics & Gynecology Physician
  • Syracuse, NY
National Provider Identifier
1144209644
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
199230 Issued in NY
Practice address
101 Pine St
Syracuse, NY 13210-1149
Phone
(315) 422-8105
Fax
(315) 471-9903
NPI assigned
Jan 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 199230 NY Primary

Addresses

Primary practice location

101 Pine St
Syracuse, NY 13210-1149

Mailing address

101 Pine St
Syracuse, NY 13210-1149
Phone (315) 422-8105

Other identifiers 1

IdentifierTypeStateIssuer
0161565449MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20051230000617 NY Practitioner - Obstetrics/Gynecology 8123040771 Reassigns benefits to 1 organization
Practice locations: Syracuse, NY

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Albany Medical College of Union University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cathy J. Berry, M.D., P.C.Group PAC ID 1052333606, 5 clinicians

Practice addresses (Care Compare)

101 Pine St
Syracuse, NY 13210-1149
Phone (315) 422-8105

Hospital & facility affiliations

  • Crouse Hospital Hospital, Syracuse, NY, CCN 330203

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Crouse Health Hospital, Inc. Past Accepting new patients
Allara Medical Group PA Obstetrics & Gynecology PastSince Nov 15, 2005 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cberry@cathyjberrymd.medentdirect.com

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 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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1144209644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PINE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101149",
            "telephone_number": "315-422-8105",
            "fax_number": "315-471-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PINE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101149",
            "telephone_number": "315-422-8105",
            "fax_number": "315-471-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "CATHY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "199230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0161565449",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.