Individual provider Active NPI

Alexandra Beris, M.D.

  • Internal Medicine Physician
  • Mount Pleasant, WI
National Provider Identifier
1174520050
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
56000 Issued in WI
Practice address
3801 Spring St
Mount Pleasant, WI 53405
Phone
(262) 687-4011
NPI assigned
Jul 7, 2005
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-07-4298 OH
Internal Medicine Physician 207R00000X 56000 WI Primary
Hospitalist Physician 208M00000X 56000-20 WI
Hospitalist Physician 208M00000X 56000 WI
Hospitalist Physician 208M00000X 0101280170 VA

Addresses

Primary practice location

3801 Spring St
Mount Pleasant, WI 53405

Mailing address

3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-4011

Other practice location 1

500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone (757) 594-3580

Other identifiers 1

IdentifierTypeStateIssuer
2074188MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110729000107 WI Practitioner - Internal Medicine 2567455801 Reassigns benefits to 1 organization
I20220511000405 IL Practitioner - Internal Medicine 2567455801 Reassigns benefits to 1 organization
I20231205000826 VA Practitioner - Hospitalist 2567455801 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Hospital IncGroup PAC ID 1557271293, 47 clinicians
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians

Practice addresses (Care Compare)

10510 Jefferson Ave
A
Newport News, VA 23601-3102
Phone (757) 594-3800

500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone (757) 594-3580

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.05 of 100Reported as group
Quality
80.86
Promoting interoperability
79
Improvement activities
40
Cost
85.5

Merit-based Incentive Payment System (MIPS)

Final score
94.91 of 100Reported as apm
Quality
92.86
Promoting interoperability
94.93
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56000WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Hospital Inc. CurrentSince Sep 21, 2024 Accepting new patients
Oak Street Health Physicians Group, PC Internal Medicine CurrentSince Jun 6, 2022 Accepting new patients
Riverside Physician Services Inc CurrentSince Nov 21, 2023 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Riverside Hospital Inc CurrentSince Sep 21, 2024 Accepting new patients
Riverside Hospital Inc Internal Medicine Current Accepting new patients
Riverside Physician Services, Inc. Internal Medicine CurrentSince Nov 21, 2023 Accepting new patients

Locations

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

3210 Grand Ave
Waukegan, IL 60085
Phone (847) 220-4103

10510 Jefferson Ave
Ste A
Newport News, VA 23601
Phone (757) 594-3800

10510 Jefferson Ave
Ste E
Newport News, VA 23601
Phone (757) 594-2846

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

500 J Clyde Morris Blvd
North North, VA 23601
Phone (757) 594-2000

Interoperability endpoints

  • Direct secure messaging: aberis232995@direct.rivhs.com

Organizations & group practices 8

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 3

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1174520050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 SPRING ST",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534051667",
            "telephone_number": "262-687-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 SPRING ST",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "53405",
            "telephone_number": "262-687-4011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 J Clyde Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236011929",
            "country_code": "US",
            "telephone_number": "757-594-3580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERIS",
        "first_name": "ALEXANDRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-07-4298",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "56000",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "56000-20",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "56000",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101280170",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2074188",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

Verify at the official NPI Registry.