Individual provider Active NPI

Banu Berkem, NP

  • Family Nurse Practitioner
  • Avon, IN
National Provider Identifier
1225681992
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71009084A Issued in IN
Practice address
1351 Ronald Reagan Pkwy Ste B
Avon, IN 46123-6764
Phone
(317) 948-3200
Fax
(317) 217-2424
NPI assigned
Jul 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28193153A IN
Family Nurse Practitioner 363LF0000X 71009084A IN Primary
Family Nurse Practitioner 363LF0000X CNP231124 ME

Addresses

Primary practice location

1351 Ronald Reagan Pkwy Ste B
Avon, IN 46123-6764

Mailing address

250 N Shadeland Ave Ste 200
Indianapolis, IN 46219-4959

Other practice location 1

344 Lakewood Rd
Madison, ME 04950-3015
Phone (207) 474-2994

Other practice location 2

6845 E US Highway 36
Avon, IN 46123-9779
Phone (317) 948-3200

Other identifiers 2

IdentifierTypeStateIssuer
1225681992MedicaidME
300030286MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bberkem@direct.iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, ME, AR, CA, NJ5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20190913001184 IN Practitioner - Nurse Practitioner 9638408834 Reassigns benefits to 2 organizations
I20240723000729 ME Practitioner - Nurse Practitioner 9638408834 Reassigns benefits to 3 organizations
I20250824000094 AR Practitioner - Nurse Practitioner 9638408834 Reassigns benefits to 1 organization
I20250828005329 CA Practitioner - Nurse Practitioner 9638408834 Reassigns benefits to 1 organization
I20251026000440 NJ Practitioner - Nurse Practitioner 9638408834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1801 NE 123Rd St
Suite 314
North Miami, FL 33181-2883

21920 W 178TH Ter
Olathe, KS 66062-8955

303 Twin Dolphin Dr
Suite 600
Redwood City, CA 94065-1419

525 Route 73 N
Suite 117
Marlton, NJ 08053-3422

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71009084AINMDFamily Nurse Practitioner
CNP231124MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center CurrentSince Aug 26, 2024 Accepting new patients
Mainegeneral Medical Center CurrentSince Aug 26, 2024 Accepting new patients
University Family Physicians, Inc. CurrentSince Aug 5, 2019 Accepting new patients
University Family Physicians, Inc. CurrentSince Aug 5, 2019 Accepting new patients
Redington-Fairview General Hospital CurrentSince Sep 8, 2025 Accepting new patients
Mainegeneral Medical Center Current Accepting new patients
Redington-Fairview General Hospital CurrentSince Sep 8, 2025 Accepting new patients
Ez Health Medical Group West PC CurrentSince Jul 1, 2025 Accepting new patients
Indiana University Health Care Associates, Inc Family CurrentSince Aug 5, 2019 Accepting new patients
Ez Health Medical Group East PC CurrentSince Aug 18, 2025 Accepting new patients
Ez Health Medical Group PA CurrentSince Jul 1, 2025 Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

609 SW 8th St
Fl 6
Bentonville, AR 72712
Phone (479) 349-2579

303 Twin Dolphin Dr
Ste 600
Redwood City, CA 94065
Phone (740) 350-3565

325 S 1st St
Ste 200
San Jose, CA 95113
Phone (415) 839-7564

1801 NE 123rd St
Ste 314
North Miami, FL 33181
Phone (239) 380-8220

5208 Reliable Pkwy
Chicago, IL 60686

7216 Solutions Ctr
Chicago, IL 60677

6845 E US Highway 36
Ste 600
Avon, IN 46123
Phone (317) 272-4920

1351 Ronald Reagan Pkwy
Ste B
Avon, IN 46123
Phone (317) 948-3200

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

950 N Meridian St
Ste 500
Indianapolis, IN 46204
Phone (317) 962-4941

344 Lakewood Rd
Madison, ME 04950
Phone (207) 474-2994

46 Fairview Ave
Skowhegan, ME 04976
Phone 2074745121293

149 North St
Waterville, ME 04901
Phone (207) 622-1959

525 Route 73 N
Ste 117
Marlton, NJ 08053
Phone (609) 200-0444

Interoperability endpoints

  • Direct secure messaging: banuberkem@mgh.allscriptsdirect.net
  • Direct secure messaging: banu.berkem.1@30520.direct.athenahealth.com
  • Direct secure messaging: bberkem@direct.iuhealth.org
  • Direct secure messaging: banu.berkem.1@30093.direct.athenahealth.com
  • Direct secure messaging: banu.berkem@782068992901124.direct.elationemr.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1225681992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959",
            "fax_number": "765-838-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 RONALD REAGAN PKWY STE B",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236764",
            "telephone_number": "317-948-3200",
            "fax_number": "317-217-2424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "344 Lakewood Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "ME",
            "postal_code": "049503015",
            "country_code": "US",
            "telephone_number": "207-474-2994",
            "fax_number": "207-858-0102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6845 E US Highway 36",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "IN",
            "postal_code": "461239779",
            "country_code": "US",
            "telephone_number": "317-948-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERKEM",
        "first_name": "BANU",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28193153A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009084A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP231124",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225681992",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300030286",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bberkem@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "1351 Ronald Reagan Pkwy Ste B",
            "city": "Avon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461236764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.