NPIMap

Individual provider Active NPI

Micah Diaz Berry, M.D.

  • Orthopaedic Surgery Physician
  • Pasadena, CA
National Provider Identifier
1376771980
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A110714 Issued in CA
Practice address
710 Mira Monte PL
Pasadena, CA 91101-2521
Phone
(310) 569-5933
NPI assigned
Jun 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A110714 CA Primary

Addresses

Primary practice location

710 Mira Monte PL
Pasadena, CA 91101-2521

Mailing address

300 Sierra College Dr
Ste 250
Grass Valley, CA 95945-5083
Phone (530) 477-0011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20130731000624 CA Practitioner - Orthopedic Surgery 5092956201 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Harvard Medical School, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Marshall Medical CenterGroup PAC ID 7517875859, 168 clinicians
Sutter Coast HospitalGroup PAC ID 9436148111, 29 clinicians

Practice addresses (Care Compare)

300 Sierra College Dr
Suite 250
Grass Valley, CA 95945-5083
Phone (530) 777-0011

4201 Town Ctr Blvd
BLDG D
El Dorado Hills, CA 95762-7100
Phone (916) 905-6378

780 E Washington Blvd
Crescent City, CA 95531-8397
Phone (707) 464-6715

Hospital & facility affiliations

  • Progressive Home Care - Auburn Home health agency, Auburn, CA, CCN 557482
  • Sutter Coast Home Care Home health agency, Crescent City, CA, CCN 057427
  • Sierra Nevada Home Care Home health agency, Grass Valley, CA, CCN 057755
  • Sierra Nevada Memorial Hospital Hospital, Grass Valley, CA, CCN 050150
  • Sutter Coast Hospital Hospital, Crescent City, CA, CCN 050417
  • Sutter Auburn Faith Hospital Hospital, Auburn, CA, CCN 050498
  • Curry General Hospital Hospital, Gold Beach, OR, CCN 381322
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
73.31
Promoting interoperability
92
Improvement activities
40
Cost
62

Merit-based Incentive Payment System (MIPS)

Final score
79.54 of 100Reported as individual
Quality
75.51
Improvement activities
40
Cost
64.46

Merit-based Incentive Payment System (MIPS)

Final score
82.99 of 100Reported as group
Quality
57.99
Promoting interoperability
100
Improvement activities
40
Cost
72.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement71
Knee replacement95
Lower limb (leg) arthroscopy (minimally invasive joint repair)21
Upper limb (arm) arthroscopy (minimally invasive joint repair)20
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Coast Hospital CurrentSince Sep 23, 2023 Accepting new patients
Sutter Coast Hospital CurrentSince Sep 23, 2023 Accepting new patients
Micah Berry M D Inc a Professional Corporation Orthopaedic Surgery CurrentSince Sep 1, 2014 Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients

Locations

780 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-5974

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000

280 Sierra College Dr
Ste 210
Grass Valley, CA 95945
Phone (530) 273-8452

155 Glasson Way
Ste L30
Grass Valley, CA 95945
Phone (856) 759-4765

300 Sierra College Dr
Ste 250
Grass Valley, CA 95945
Phone (530) 777-0011

Interoperability endpoints

  • Direct secure messaging: mberry216185@hisp.ehr.sutterhealth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/GICDCD/Endpoint/GICDCD

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 10

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": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1376771980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SIERRA COLLEGE DR",
            "address_2": "STE 250",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455083",
            "telephone_number": "530-477-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 MIRA MONTE PL",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012521",
            "telephone_number": "310-569-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "MICAH",
        "middle_name": "DIAZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A110714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.