Individual provider Active NPI

Mehmet Caglar Berk, M.D.

  • Neurological Surgery Physician
  • Portland, OR
National Provider Identifier
1154536191
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD157718 Issued in OR
Practice address
6485 SW Borland Rd
Suite G
Portland, OR 97062
Phone
(503) 482-5671
Fax
(503) 482-5764
NPI assigned
May 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD157718 OR
Neurological Surgery Physician 207T00000X MD157718 OR Primary

Addresses

Primary practice location

6485 SW Borland Rd
Suite G
Portland, OR 97062

Mailing address

6485 SW Borland Rd
Suite G
Portland, OR 97062
Phone (503) 482-5671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20121019000603 OR Practitioner - NeurosurgeryPractitioner - Pediatric Medicine 0547410946 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Berk Neurosurgical, LLC Neurological Surgery CurrentSince Jul 3, 2014 Accepting new patients
Legacy Emanuel Hospital & Health Center Pediatrics Past Accepting new patients
Legacy Emanuel Hospital & Health Center Past Accepting new patients

Locations

6485 SW Borland Rd
Ste G
Tualatin, OR 97062
Phone (503) 482-5671

Organizations & group practices 4

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": "1178928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1154536191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6485 SW BORLAND RD",
            "address_2": "SUITE G",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97062",
            "telephone_number": "503-482-5671",
            "fax_number": "503-482-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6485 SW BORLAND RD",
            "address_2": "SUITE G",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97062",
            "telephone_number": "503-482-5671",
            "fax_number": "503-482-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERK",
        "first_name": "MEHMET",
        "middle_name": "CAGLAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-12",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD157718",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OR",
            "license": "MD157718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.