Active NPI
Robert M Berger, M.D.
- Ophthalmology Physician
- Springfield, MA
National Provider Identifier
1225014194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 33015
- Practice address
- 275 Bicentennial Hwy
Springfield, MA 01118-1900 - Phone
- (413) 783-3100
- Fax
- (413) 782-7998
- NPI assigned
- Dec 21, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 33015 | MA | Primary |
Addresses
Primary practice location
275 Bicentennial Hwy
Springfield, MA 01118-1900
Mailing address
275 Bicentennial Hwy
Springfield, MA 01118-1900
Phone (413) 783-3100
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N51536 | Other | MA | BLUE SHIELD |
| 033015 | Other | MA | TUFTS |
| 117561 | Other | FALLON COMM. HEALTH PLAN | |
| 4215989 | Other | AETNA | |
| 150658 | Other | MA | HARVARD/PILGRIM |
| 123633 | Other | U.S. HEALTH CARE | |
| 748930 | Other | MA | CONNECTICARE |
| 10548 | Other | MA | HEALTH NEW ENGLAND |
| 40047 | Other | DAVIS VISION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33015 | MA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert M Berger MD, PC | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Springfield, MA
- NPI 1063498376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198195200000",
"number": "1225014194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 BICENTENNIAL HWY",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011181900",
"telephone_number": "413-783-3100",
"fax_number": "413-782-7998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 BICENTENNIAL HWY",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011181900",
"telephone_number": "413-783-3100",
"fax_number": "413-782-7998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "ROBERT",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2007-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "33015",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "N51536",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "033015",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMM. HEALTH PLAN",
"identifier": "117561",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4215989",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD/PILGRIM",
"identifier": "150658",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U.S. HEALTH CARE",
"identifier": "123633",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "748930",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "10548",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "40047",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.