Individual provider Active NPI

Ashraf H Berry, M.D.

  • Pediatric Adolescent Medicine Physician
  • Warren, MI
National Provider Identifier
1225083967
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
4301072120 Issued in MI
Practice address
27070 Hoover Rd
Warren, MI 48093-4590
Phone
(586) 573-9090
Fax
(586) 573-2128
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 4301072120 MI Primary

Addresses

Primary practice location

27070 Hoover Rd
Warren, MI 48093-4590

Mailing address

627 S Gulley Rd
Dearborn, MI 48124-1235
Phone (313) 278-5556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160526002295 MI Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1052601333

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Macomb Pediatric Associatea P.C Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ashraf.berry.1@20935.direct.athenahealth.com
  • Direct secure messaging: aberry63309@direct.hfhs.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1225083967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 S GULLEY RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241235",
            "telephone_number": "313-278-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27070 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934590",
            "telephone_number": "586-573-9090",
            "fax_number": "586-573-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "ASHRAF",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MI",
            "license": "4301072120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.