Individual provider Active NPI

Robin Berger, MD

  • Procedural Dermatology Physician
  • St George, UT
National Provider Identifier
1275557407
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
329801-1205 Issued in UT
Practice address
640 E 700 S
Suite 1
St George, UT 84770-4023
Phone
(435) 673-7546
Fax
(435) 673-7554
NPI assigned
Jul 27, 2006
Last updated
Nov 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 329801-1205 UT Primary

Addresses

Primary practice location

640 E 700 S
Suite 1
St George, UT 84770-4023

Mailing address

PO Box 911928
St George, UT 84791-1928
Phone (435) 652-9127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20060127000697 UT Practitioner - Dermatology 8224042486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Utah School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

640 E 700
Suite 1
St George, UT 84770-4006
Phone (435) 673-7546

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
13.26 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
44.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision339
Removal of skin lesions1408
Removal or shaving of skin growth15
Skin biopsy159

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
329801-1205UTMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robin Berger MD PC Dermatology CurrentSince Feb 1, 2002 Accepting new patients
Southwest Skin and Cancer LLC PastSince Apr 1, 2006 Accepting new patients

Locations

640 E 700 S
Ste 1
St George, UT 84770
Phone (435) 673-7546

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1275557407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911928",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847911928",
            "telephone_number": "435-652-9127",
            "fax_number": "435-674-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E 700 S",
            "address_2": "SUITE 1",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704023",
            "telephone_number": "435-673-7546",
            "fax_number": "435-673-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "ROBIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "UT",
            "license": "329801-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.