NPIMap

Individual provider Active NPI

Jeffrey William Berg, M.D.

  • Interventional Pain Medicine Physician
  • Louisville, KY
National Provider Identifier
1376506022
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
22581 Issued in KY
Practice address
1169 Eastern Pkwy Ste 2211
Louisville, KY 40217-1444
Phone
(502) 635-2775
Fax
(502) 371-0475
NPI assigned
Apr 11, 2006
Last updated
May 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 22581 KY Primary

Addresses

Primary practice location

1169 Eastern Pkwy Ste 2211
Louisville, KY 40217-1444

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-0328

Other identifiers 9

IdentifierTypeStateIssuer
2436583000OtherKYPASSPORT ADVANATGE
4466067OtherKYAETNA
050071439OtherKYMEDICARE RR
9237372003OtherKYCIGNA
64225816MedicaidKY
731879OtherKYFIRST HEALTH WORKMANS COM
PASSPORTOtherKYPASSPORT
000000112276OtherKYBC/BS
164269100OtherKYDEPT OF LABOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20100407000668 KY Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 6002867694 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
University of Louisville School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Management Consultants, LLCGroup PAC ID 7416908009, 2 clinicians

Practice addresses (Care Compare)

1169 Eastern Pkwy
Suite 2211
Louisville, KY 40217-1444
Phone (502) 635-2775

1900 Bluegrass Ave
Suite 300
Louisville, KY 40215-1183
Phone (502) 815-7336

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.34 of 100Reported as individual
Quality
65.86
Improvement activities
40
Cost
100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Phyisicians, Inc. Interventional Pain Medicine CurrentSince Jul 1, 2025 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jul 1, 2025 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Pain Management Consultants, LLC Interventional Pain Medicine CurrentSince Aug 1, 2000 Accepting new patients
University of Louisville Physicians Inc. Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

1 Audubon Plaza Dr
Fl 5
Louisville, KY 40217
Phone (502) 636-7660

1169 Eastern Pkwy
Ste 2211
Louisville, KY 40217
Phone (502) 635-2775

1900 Bluegrass Ave
Ste 300
Louisville, KY 40215
Phone (502) 361-1222

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61141
  • Direct secure messaging: jberg@pmcdrberg.directbygreenway.com

Organizations & group practices 5

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 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1376506022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-588-0328",
            "fax_number": "502-371-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY STE 2211",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171444",
            "telephone_number": "502-635-2775",
            "fax_number": "502-371-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "JEFFREY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "KY",
            "license": "22581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANATGE",
            "identifier": "2436583000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4466067",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "050071439",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9237372003",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64225816",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH WORKMANS COM",
            "identifier": "731879",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "PASSPORT",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000000112276",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "164269100",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.