Individual provider Active NPI

Barry Martin Kerman, M.D

  • Ophthalmology Physician
  • Castro Valley, CA
National Provider Identifier
1265454375
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G21061 Issued in CA
Practice address
21675 Redwood Rd
Castro Valley, CA 94546-6431
Phone
(510) 538-5252
Fax
(510) 538-3884
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G21061 CA Primary

Addresses

Primary practice location

21675 Redwood Rd
Castro Valley, CA 94546-6431

Mailing address

21675 Redwood Rd
Castro Valley, CA 94546-6431
Phone (510) 538-5252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070423000609 CA Practitioner - Ophthalmology 4587769328 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G21061CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
V. Nicholas Batra M.D. Inc. Ophthalmology CurrentSince Jul 12, 2019 Accepting new patients
Jules Stein Eye Institute Medical Group Past Accepting new patients

Locations

21675 Redwood Rd
Castro Valley, CA 94546
Phone (510) 357-3636

15051 Hesperian Blvd
Ste A
San Leandro, CA 94578
Phone (510) 276-1212

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1265454375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21675 REDWOOD RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945466431",
            "telephone_number": "510-538-5252",
            "fax_number": "510-538-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21675 REDWOOD RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945466431",
            "telephone_number": "510-538-5252",
            "fax_number": "510-538-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERMAN",
        "first_name": "BARRY",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G21061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

Verify at the official NPI Registry.