Active NPI
Justin Lee Berk, M.D.
- Internal Medicine Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD16768
- Practice address
- 245 Chapman St Ste 100
Providence, RI 02905-4539 - Phone
- (401) 444-6118
- NPI assigned
- Apr 5, 2015
- Last updated
- Jan 28, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD16768 | RI | Primary |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | MD16768 | RI |
Addresses
Primary practice location
245 Chapman St Ste 100
Providence, RI 02905-4539
Mailing address
15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 444-6779
Other practice location 1
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4741
Other practice location 2
375 Wampanoag Trl
Riverside, RI 02915-2232
Phone (401) 649-4050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- 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
- Internal Medicine
- Education
- Texas Tech University Health Science Center School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
245 Chapman St
Suite 300
Providence, RI 02905-4539
Phone (401) 444-5280
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4741
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD16768 | RI | MD | Addiction Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Hospital | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Brown Medicine | Internal Medicine | Current | Accepting new patients |
| Brown Medicine | Internal Medicine | Current | Accepting new patients |
| Brown Medicine | Current | Accepting new patients | |
| Rhode Island Hospital | Current | Accepting new patients | |
| Rhode Island Hospital | Current | Accepting new patients | |
| Rhode Island Hospital | Past | Accepting new patients |
Locations
1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000
110 Elm St
Providence, RI 02903
Phone (401) 443-4992
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
15 La Salle Sq
Providence, RI 02903
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
245 Chapman St
Ste 100
Providence, RI 02905
Phone (401) 444-6118
245 Chapman St
Ste 300
Providence, RI 02905
Phone (401) 444-4741
593 Eddy St
Providence, RI 02903
593 Eddy St
Lowr
Providence, RI 02903
Phone (401) 444-4471
593 Eddy St
Ste 5
Providence, RI 02903
Phone (401) 444-3996
593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280
375 Wampanoag Trl
Riverside, RI 02915
Phone (401) 649-4010
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Riverside, RI
- NPI 1689626764
-
- Multi-Specialty Clinic/Center
- Providence, RI
- NPI 1154537520
-
dba Brown Health Medical Group
- General Practice Physician
- Providence, RI
- NPI 1407116643
-
- Pediatrics Physician
- Providence, RI
- NPI 1861420333
-
dba Brown Health Medical Group Primary Care
- Internal Medicine Physician
- Providence, RI
- NPI 1780273540
-
- Internal Medicine Physician
- Riverside, RI
- NPI 1437897469
-
- Gastroenterology Physician
- Providence, RI
- NPI 1730827767
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769558400000",
"number": "1245625300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 LA SALLE SQ",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029031814",
"telephone_number": "401-444-6779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 CHAPMAN ST STE 100",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054539",
"telephone_number": "401-444-6118"
}
],
"practiceLocations": [
{
"address_1": "593 Eddy St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029034923",
"country_code": "US",
"telephone_number": "401-444-4741",
"fax_number": "401-444-4445",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "375 Wampanoag Trl",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "RI",
"postal_code": "029152232",
"country_code": "US",
"telephone_number": "401-649-4050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERK",
"first_name": "JUSTIN",
"middle_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-05",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD16768",
"primary": true
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "RI",
"license": "MD16768",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.