Individual provider Active NPI

Chiquita Lashane Berg, MD

  • Obstetrics & Gynecology Physician
  • Westland, MI
National Provider Identifier
1184612814
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301077885 Issued in MI
Practice address
32932 Warren Rd Ste 100
Westland, MI 48185-3095
Phone
(734) 743-4500
Fax
(734) 743-4362
NPI assigned
Oct 6, 2005
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME134169 FL
Obstetrics & Gynecology Physician 207V00000X 01079219A IN
Obstetrics & Gynecology Physician 207V00000X 4301077885 MI Primary

Addresses

Primary practice location

32932 Warren Rd Ste 100
Westland, MI 48185-3095

Mailing address

24 Frank Lloyd Wright Dr Ste J2000
Ann Arbor, MI 48105-9484
Phone (734) 747-6766

Other practice location 1

420 N Sawyer Rd
Kendallville, IN 46755-2572
Phone (260) 347-8030

Other practice location 2

2200 Springport Rd
Jackson, MI 49202-1432
Phone (517) 787-9356

Other practice location 3

4705 Alt 19 Ste B
Palm Harbor, FL 34683-1424
Phone (727) 935-6477

Other names 1

  • Chiquita Lashane Hinson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20051214000632 MI Practitioner - Obstetrics/Gynecology 6406877794 Reassigns benefits to 2 organizations
I20180328002073 FL Practitioner - Obstetrics/Gynecology 6406877794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iha Olma Specialty 1 LLCGroup PAC ID 6901206689, 67 clinicians

Practice addresses (Care Compare)

19000 St Joes Pkwy
Suite 210
Livonia, MI 48152-1477
Phone (734) 655-8250

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01079219AINMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary Mercy Hospital Crna Current Accepting new patients
Iha Olma Specialty 1 LLC CurrentSince Jul 1, 2021 Accepting new patients
Florida Hospital Physician Group Inc Obstetrics & Gynecology CurrentSince Apr 10, 2018 Accepting new patients
St Mary Mercy Hospital Professional CurrentSince Jun 23, 2018 Accepting new patients
St Mary Mercy Hospital Professional CurrentSince Jun 23, 2018 Accepting new patients
Iha Olma Specialty 1 LLC Obstetrics & Gynecology CurrentSince Jul 1, 2021 Accepting new patients
Palms Heart Center PA PastSince Apr 10, 2018 Accepting new patients

Locations

4705 Alt 19
Ste B
Palm Harbor, FL 34683
Phone (727) 787-4875

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

19000 St Joes Pkwy
Livonia, MI 48152
Phone (734) 655-8250

19000 St Joes Pkwy
Ste 210
Livonia, MI 48152
Phone (734) 655-8250

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

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

32932 Warren Rd
Ste 100
Westland, MI 48185
Phone (734) 398-0600

Interoperability endpoints

  • Direct secure messaging: cberg37106@direct.trinity-health.org

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.

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1184612814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DR STE J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059484",
            "telephone_number": "734-747-6766",
            "fax_number": "734-222-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32932 WARREN RD STE 100",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481853095",
            "telephone_number": "734-743-4500",
            "fax_number": "734-743-4362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 N Sawyer Rd",
            "address_purpose": "LOCATION",
            "city": "Kendallville",
            "state": "IN",
            "postal_code": "467552572",
            "country_code": "US",
            "telephone_number": "260-347-8030",
            "fax_number": "260-347-8035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Springport Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492021432",
            "country_code": "US",
            "telephone_number": "517-787-9356",
            "fax_number": "517-780-9286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4705 Alt 19 Ste B",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346831424",
            "country_code": "US",
            "telephone_number": "727-935-6477",
            "fax_number": "727-935-6478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERG",
        "first_name": "CHIQUITA",
        "middle_name": "LASHANE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME134169",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01079219A",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301077885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHIQUITA",
            "last_name": "HINSON",
            "middle_name": "LASHANE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.