Active NPI
Kathryn E Berryman, M.D.
- Maternal & Fetal Medicine Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- ME138628
- Practice address
- 2415 N Orange Ave Ste 402
Orlando, FL 32804-5505 - Phone
- (407) 622-0560
- Fax
- (407) 622-0563
- NPI assigned
- May 25, 2007
- Last updated
- Sep 1, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME138628 | FL | |
| Maternal & Fetal Medicine Physician | 207VM0101X | ME138628 | FL | Primary |
| Maternal & Fetal Medicine Physician | 207VM0101X | 2018008440 | MO | |
| Maternal & Fetal Medicine Physician | 207VM0101X | R4943 | TX | |
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | ME138628 | FL |
Addresses
Primary practice location
2415 N Orange Ave Ste 402
Orlando, FL 32804-5505
Mailing address
2415 N Orange Ave Ste 402
Orlando, FL 32804-5505
Phone (407) 622-0560
Other practice location 1
1250 8th Ave Ste 570
Fort Worth, TX 76104
Phone (817) 332-6667
Other practice location 2
1250 8th Ave Ste 570
Fort Worth, TX 76104
Phone (817) 332-6667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Maryland School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2415 N Orange Ave
Suite 400
Orlando, FL 32804-5505
Phone (407) 303-7399
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME138628 | FL | MD | Maternal & Fetal Medicine Physician |
| 2018008440 | MO | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Baylor College of Medicine | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Acclaim Physician Group, Inc | Current | Accepting new patients | |
| Fort Worth Perinatal Associates, P.a. | Past | Accepting new patients |
Locations
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
2415 N Orange Ave
Ste 400
Orlando, FL 32804
Phone (407) 303-7203
2415 N Orange Ave
Ste 402
Orlando, FL 32804
Phone (407) 303-5815
1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701
1201 S Main St
Ft Worth, TX 76104
Phone (817) 702-6500
2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835
333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- kberryman73921@adventhealth.direct-ci.com
Organizations & group practices 5
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.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Obstetrics & Gynecology
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1780076562
-
dba BCM Physicians of San Antonio
- Pediatrics Physician
- San Antonio, TX
- NPI 1285079764
-
dba Rothman Orthopaedics AdventHealth Medical Group at Minneola
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Specialist
- Fort Worth, TX
- NPI 1669686937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1225249568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 N ORANGE AVE STE 402",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328045505",
"telephone_number": "407-622-0560",
"fax_number": "407-622-0563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 N ORANGE AVE STE 402",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328045505",
"telephone_number": "407-622-0560",
"fax_number": "407-622-0563"
}
],
"practiceLocations": [
{
"address_1": "1250 8th Ave Ste 570",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "76104",
"country_code": "US",
"telephone_number": "817-332-6667",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1250 8th Ave Ste 570",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "76104",
"country_code": "US",
"telephone_number": "817-332-6667",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERRYMAN",
"first_name": "KATHRYN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-25",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME138628",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "FL",
"license": "ME138628",
"primary": true
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "MO",
"license": "2018008440",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "TX",
"license": "R4943",
"primary": false
},
{
"code": "2083B0002X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Obesity Medicine",
"state": "FL",
"license": "ME138628",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.