Active NPI
Carl Charles Berasi IV, M.D.
- Anesthesiology Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME134915
- Practice address
- 1600 SW Archer Rd
Gainesville, FL 32610 - Phone
- (352) 273-6575
- NPI assigned
- Mar 26, 2013
- Last updated
- Jul 29, 2018
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Anesthesiology Physician | 207L00000X | ME134915 | FL | Primary |
Addresses
Primary practice location
1600 SW Archer Rd
Gainesville, FL 32610
Mailing address
PO Box 100254 Department of Anesthesiology
Gainesville, FL 32610-0254
Phone (352) 273-6575
Other practice location 1
3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-3322
Other practice location 2
3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-3322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024774800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Duke University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1918 Randolph Rd
Suite 740
Charlotte, NC 28207-1167
Phone (704) 316-0810
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME134915 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ambulatory Anesthesia of Pinehurst, PA | Anesthesiology | Current | Accepting new patients |
| Pinehurst Anesthesia Associates, PA | Anesthesiology | Current | Accepting new patients |
| Providence Anesthesiology Associates, P.a. | Anesthesiology | Current | Accepting new patients |
Locations
131 Providence Rd
Ste 200
Charlotte, NC 28207
Phone 70474958001101
1918 Randolph Rd
Ste 740
Charlotte, NC 28207
Phone (704) 316-0810
10 First Village Dr
Pinehurst, NC 28374
Phone (844) 278-5282
155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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.
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1396739884
-
- Anesthesiology Physician
- Pinehurst, NC
- NPI 1306867015
-
- Anesthesiology Physician
- Pinehurst, NC
- NPI 1336169739
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Firsthealth Bariatric Center
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
dba Firsthealth Regional EMS System
- Land Ambulance
- Pinehurst, NC
- NPI 1871610378
Hospital
-
dba FirstHealth Cancer Center
- Oncology Clinic/Center
- Pinehurst, NC
- NPI 1417010422
Hospital
-
dba FH Moore Regional Hospital (Acute)
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532822400000",
"number": "1326380569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100254 DEPARTMENT OF ANESTHESIOLOGY",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100254",
"telephone_number": "352-273-6575",
"fax_number": "352-392-7029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32610",
"telephone_number": "352-273-6575"
}
],
"practiceLocations": [
{
"address_1": "3535 Olentangy River Rd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432143908",
"country_code": "US",
"telephone_number": "614-566-3322",
"fax_number": "614-566-1073",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3535 Olentangy River Rd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432143908",
"country_code": "US",
"telephone_number": "614-566-3322",
"fax_number": "614-566-1073",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERASI",
"first_name": "CARL",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-26",
"last_updated": "2018-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME134915",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024774800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2018; 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.