Individual provider Active NPI

Kathryn E Berryman, M.D.

  • Maternal & Fetal Medicine Physician
  • Orlando, FL
National Provider Identifier
1225249568
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
ME138628 Issued in FL
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180831001752 TX Practitioner - Obstetrics/Gynecology 5698037885 Reassigns benefits to 2 organizations
I20200521000576 FL Practitioner - Obstetrics/Gynecology 5698037885 Reassigns benefits to 1 organization

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
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

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

LicenseStateTypeSpecialty
ME138628FLMDMaternal & Fetal Medicine Physician
2018008440MOMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Obstetrics & Gynecology CurrentSince Jun 8, 2020 Accepting new patients
Baylor College of Medicine CurrentSince Dec 1, 2018 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jun 8, 2020 Accepting new patients
Acclaim Physician Group, Inc CurrentSince Sep 1, 2018 Accepting new patients
Fort Worth Perinatal Associates, P.a. PastSince Jun 1, 2003 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.