NPIMap

Individual provider Active NPI

Elaine K. Berry, M.D.

  • Family Medicine Physician
  • Atlantic, IA
National Provider Identifier
1316046469
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25622 Issued in IA
Practice address
1501 E 10TH St
Atlantic, IA 50022-1936
Phone
(712) 243-2850
Fax
(712) 243-7423
NPI assigned
Sep 22, 2006
Last updated
Aug 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25622 IA Primary

Addresses

Primary practice location

1501 E 10TH St
Atlantic, IA 50022-1936

Mailing address

1501 E 10TH St
Atlantic, IA 50022-1936
Phone (712) 243-2850

Other identifiers 1

IdentifierTypeStateIssuer
3032763MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040519001444 IA Practitioner - Family PracticePractitioner - Emergency Medicine 6709877673 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cass County Memorial HospitalGroup PAC ID 5294634994, shared by 9 NPIs, 67 clinicians

Practice addresses (Care Compare)

1501 E 10TH St
Atlantic, IA 50022-1936
Phone (712) 243-3250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.8 of 100Reported as group
Quality
85.99
Promoting interoperability
96
Improvement activities
40
Cost
10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25622IAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cass County Memorial Hospital CurrentSince Jun 10, 1995 Accepting new patients
Cass County Memorial Hospital CurrentSince Jun 25, 2025 Accepting new patients
Cass County Memorial Hospital CurrentSince Jun 10, 1995 Accepting new patients

Locations

1501 E 10th St
Atlantic, IA 50022
Phone (712) 243-2850

1501 E 10th St
#2
Atlantic, IA 50022

1501 E 10th St
#429
Atlantic, IA 50022
Phone (712) 243-2850

Interoperability endpoints

  • Direct secure messaging: eberry117356@uihcdirect.org

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Griswold Medical CenterGriswold, IA, CCN 168525 Rural health clinic W-2 Managing Employee Aug 1, 2021
Atlantic Medical CenterAtlantic, IA, CCN 168523 Rural health clinic W-2 Managing Employee Aug 1, 2021
Massena Medical CenterMassena, IA, CCN 168524 Rural health clinic W-2 Managing Employee Aug 1, 2021
Anita Medical CenterAnita, IA, CCN 168526 Rural health clinic W-2 Managing Employee Aug 1, 2021

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1316046469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E 10TH ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221936",
            "telephone_number": "712-243-2850",
            "fax_number": "712-243-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E 10TH ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221936",
            "telephone_number": "712-243-2850",
            "fax_number": "712-243-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "ELAINE",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "25622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3032763",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic, IA

Sources for this page

Verify at the official NPI Registry.