NPIMap

Individual provider Active NPI

Derek Berg, DO

  • Internal Medicine Physician
  • Louisville, CO
National Provider Identifier
1194896969
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DR.0046255 Issued in CO
Practice address
100 Health Park Dr
Louisville, CO 80027-9583
Phone
(303) 643-1159
Fax
(720) 874-5886
NPI assigned
Nov 13, 2006
Last updated
Mar 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OP00002020 WA
Internal Medicine Physician 207R00000X DR.0046255 CO Primary
Hospitalist Physician 208M00000X DR.0046255 CO

Addresses

Primary practice location

100 Health Park Dr
Louisville, CO 80027-9583

Mailing address

100 Health Park Dr
Louisville, CO 80027-9583
Phone (303) 643-1159

Other practice location 1

1707 Cole Blvd Ste 100
Golden, CO 80401-3219
Phone (303) 763-4900

Other identifiers 2

IdentifierTypeStateIssuer
8431363MedicaidWA
01677527MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DEREK.BERG@hca3.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080530000298 CO Practitioner - Internal MedicinePractitioner - Osteopathic Manipulative Medicine 2062441520 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1707 Cole Blvd
Suite 100
Golden, CO 80401-3219
Phone (702) 480-2550

2525 S Downing St
HSPC Hospitalists Pah
Denver, CO 80210-5817
Phone (303) 715-7184

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OP00002020WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Hospitalist Services, PLLC Hospitalist CurrentSince May 14, 2018 Accepting new patients
Optumcare Colorado Medical Group LLC Current Accepting new patients
Firstdoc PC Internal Medicine CurrentSince Dec 16, 2022 Accepting new patients
Colorado Hospitalist Services, PLLC Hospitalist CurrentSince May 14, 2018 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Jul 1, 2015 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Mar 7, 2025 Accepting new patients
Portercare Adventist Health System CurrentSince Jul 1, 2015 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Mar 7, 2025 Accepting new patients
HCA Healthone LLC Past Accepting new patients
Cogent Healthcare of Washington, PC Internal Medicine Past Accepting new patients

Locations

1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148

1690 Meade St
Denver, CO 80204
Phone (303) 264-6819

2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706

4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

1707 Cole Blvd
Ste 100
Lakewood, CO 80401
Phone (303) 716-8013

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

100 Health Park Dr
Louisville, CO 80027
Phone (303) 673-1000

615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322

6500 W 104th Ave
Westminster, CO 80020
Phone (720) 573-5000

Interoperability endpoints

  • Direct secure messaging: dberg1858514@adventhealth.direct-ci.com
  • Direct secure messaging: dberg193161@westdirect.optum.com
  • Direct secure messaging: derek.berg@hca3.eclinicaldirectplus.com

Organizations & group practices 11

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 12

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1194896969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HEALTH PARK DR",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279583",
            "telephone_number": "303-643-1159",
            "fax_number": "720-874-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HEALTH PARK DR",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279583",
            "telephone_number": "303-643-1159",
            "fax_number": "720-874-5886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1707 Cole Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Golden",
            "state": "CO",
            "postal_code": "804013219",
            "country_code": "US",
            "telephone_number": "303-763-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERG",
        "first_name": "DEREK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "OP00002020",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0046255",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "DR.0046255",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8431363",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01677527",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DEREK.BERG@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "100 Health Park Dr",
            "city": "Louisville",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800279583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

Verify at the official NPI Registry.