Individual provider Active NPI

John-Paul Berauer, MD

  • Pediatric Gastroenterology Physician
  • Madera, CA
National Provider Identifier
1154640860
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
A156606 Issued in CA
Practice address
9300 Valley Childrens PL # Se09
Madera, CA 93636-8761
Phone
(559) 353-5745
Fax
(559) 353-6093
NPI assigned
May 19, 2010
Last updated
Sep 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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 72546 GA
Pediatric Gastroenterology Physician 2080P0206X A156606 CA Primary

Addresses

Primary practice location

9300 Valley Childrens PL # Se09
Madera, CA 93636-8761

Mailing address

9300 Valley Childrens PL # SC05
Madera, CA 93636-8761
Phone (559) 353-5745

Other practice location 1

1400 Tullie Rd NE Fl 2
Atlanta, GA 30329-2309
Phone (404) 785-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20191104001820 CA Practitioner - Pediatric MedicinePractitioner - Gastroenterology 6507006020 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A156606CAMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Confermed of California PC CurrentSince Oct 14, 2024 Accepting new patients
Valley Children's Medical Group Pediatrics CurrentSince Sep 30, 2019 Accepting new patients
Arthur M. Blank Hospital, Inc. Past Accepting new patients
Advocate Health and Hospitals Corporation Past Accepting new patients
Confermed PC Pediatrics Past Accepting new patients
Scottish Rite Childrens Medical Ctr Past Accepting new patients
Valley Children's Hospital Past Accepting new patients

Locations

215 N Fresno St
Ste 370B
Fresno, CA 93701

101 Academy
Ste 100
Irvine, CA 92617
Phone (860) 323-0172

9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700

9300 Valley Childrens Pl
#5
Madera, CA 93636
Phone (559) 353-5700

9300 Valley Childrens Pl
#9
Madera, CA 93636
Phone (559) 353-5745

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

11 Silver St
Unit 856
Middletown, CT 06457

Interoperability endpoints

  • Direct secure messaging: jberauer69273@valleychildrens-prd.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1154640860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL # SC05",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761",
            "telephone_number": "559-353-5745",
            "fax_number": "559-353-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL # SE09",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761",
            "telephone_number": "559-353-5745",
            "fax_number": "559-353-6093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Tullie Rd NE Fl 2",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303292309",
            "country_code": "US",
            "telephone_number": "404-785-5437",
            "fax_number": "404-785-9042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERAUER",
        "first_name": "JOHN-PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-19",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "72546",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "CA",
            "license": "A156606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.