Ryan Scott Berry, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

A115238 Issued in CA

Practice address

3440 Empresa Dr Ste B
San Luis Obispo, CA 93401

Phone

(805) 548-1550

Fax

(805) 623-1595

NPI assigned

Apr 3, 2012

Last updated

Sep 13, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Pathology

Education

University of New Mexico School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Western Pathology IncGroup PAC ID 4183860703, 3 clinicians

Newport Harbor Pathology Medical Group IncGroup PAC ID 1456312396, 27 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.54 of 100Reported as group

Quality

77.08

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Newport Harbor Pathology Medical Group Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Newport Beach, CA
  • NPI 1790711927
  Medicare reassignment Care Compare group NPD
• Western Pathology Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • San Luis Obispo, CA
  • NPI 1780924233
  Medicare reassignment Care Compare group NPD
• Newport Harbor Pathology Medical Group Inc

  • Clinical Medical Laboratory
  • Orange, CA
  • NPI 1619423282
  NPD

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1356607444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3160",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934033160",
            "telephone_number": "805-548-1550",
            "fax_number": "805-623-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 EMPRESA DR STE B",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-548-1550",
            "fax_number": "805-623-1595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Msc 07 4040",
            "address_2": "1 University of New Mexico",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-3053",
            "fax_number": "505-925-0546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "RYAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-03",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A115238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Jane Berman, PA-C
• Ceddric Bermudez
• Mariel Bernal
• Jeanne Dustin Bernard, D.O.
• Noel Berry
• Gemi Bertran, DR.
• Sage Lawrence Best
• Maya Bettencourt, MSW, BCBA
• Better Medical Group, Inc
• Jay Bettergarcia, PH.D.

• Anatomic Pathology & Clinical Pathology Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.

Verify at the official NPI Registry.