Individual provider Active NPI

Ira J Berman, MD

  • Dermatology Physician
  • York, PA
National Provider Identifier
1215900261
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD020063E Issued in PA
Practice address
205 Saint Charles Way
York, PA 17402
Phone
(717) 741-4666
Fax
(717) 741-9649
NPI assigned
Feb 9, 2006
Last updated
Dec 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD020063E PA Primary

Addresses

Primary practice location

205 Saint Charles Way
York, PA 17402

Mailing address

205 Saint Charles Way
York, PA 17402
Phone (717) 741-4666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230719002052 FL Practitioner - Dermatology 3072594233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD020063EPAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Naples Center for Dermatology & Riverchase Dermatology CurrentSince Feb 3, 2025 Accepting new patients
Aqua Dermatology of Florida, PA Dermatology CurrentSince Feb 3, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1108 Goodlette Rd
Naples, FL 34102
Phone (239) 261-8708

1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075

9125 Corsea del Fontana Way
Ste 100
Naples, FL 34109
Phone (239) 598-4004

900 Village Square Xing
Ste 210
Palm Beach Gardens, FL 33410
Phone (239) 313-2515

Organizations & group practices 3

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1215900261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SAINT CHARLES WAY",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17402",
            "telephone_number": "717-741-4666",
            "fax_number": "717-741-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SAINT CHARLES WAY",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17402",
            "telephone_number": "717-741-4666",
            "fax_number": "717-741-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "IRA",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD020063E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.