Active NPI
Banu Berkem, NP
- Family Nurse Practitioner
- Avon, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71009084A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225681992 | Medicaid | ME | |
| 300030286 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bberkem@direct.iuhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, ME, AR, CA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
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
| License | State | Type | Specialty |
|---|---|---|---|
| 71009084A | IN | MD | Family Nurse Practitioner |
| CNP231124 | ME | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| University Family Physicians, Inc. | Current | Accepting new patients | |
| University Family Physicians, Inc. | Current | Accepting new patients | |
| Redington-Fairview General Hospital | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Redington-Fairview General Hospital | Current | Accepting new patients | |
| Ez Health Medical Group West PC | Current | Accepting new patients | |
| Indiana University Health Care Associates, Inc | Family | Current | Accepting new patients |
| Ez Health Medical Group East PC | Current | Accepting new patients | |
| Ez Health Medical Group PA | Current | 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
- banuberkem@mgh.allscriptsdirect.net
- banu.berkem.1@30520.direct.athenahealth.com
- bberkem@direct.iuhealth.org
- banu.berkem.1@30093.direct.athenahealth.com
- 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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
Family
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1043275787
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1063205987
-
- Family Medicine Physician
- San Jose, CA
- NPI 1659164580
-
- General Acute Care Hospital
- Augusta, ME
- NPI 1669423380
-
- Critical Access Hospital
- Skowhegan, ME
- NPI 1174549133
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1669828042
-
- General Acute Care Hospital
- Augusta, ME
- NPI 1083949184
-
- Community/Retail Pharmacy
- Waterville, ME
- NPI 1477344976
-
- Rural Health Clinic/Center
- Madison, ME
- NPI 1851423008
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Skowhegan, ME
- NPI 1174549133
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.