Active NPI
Kerry Bertke, D.O.
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- 34.013721
- Practice address
- 800 McConnell Dr
Columbus, OH 43214-3463 - Phone
- (614) 566-5019
- NPI assigned
- Apr 3, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 007521 | AZ | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 34.013721 | OH | Primary |
Addresses
Primary practice location
800 McConnell Dr
Columbus, OH 43214-3463
Mailing address
5450 Frantz Rd
Ste 360
Dublin, OH 43016-4134
Phone (614) 544-6161
Other practice location 1
3595 Olentangy River Rd
Riverside Community Medicine
Columbus, OH 43214-3440
Phone (614) 566-5456
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kbertke53093@direct.ohiohealth.com | OhioHealth Physician Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190812002123 | OH | Practitioner - Hospice/Palliative Care | 1052611902 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hospice/Palliative Care
- Education
- Ohio University, College of Osteopathic Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 McConnell Rd
Columbus, OH 43214-3463
Phone (614) 533-6001
Hospital & facility affiliations
- Riverside Methodist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.04 of 100
- Quality
- 58.67
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007521 | AZ | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
| 34.013721 | OH | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Corporation | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients |
Locations
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
3595 Olentangy River Rd
Columbus, OH 43214
Phone (614) 556-5456
Dept L3652
Columbus, OH 43260
800 McConnell Dr
Columbus, OH 43214
Phone (614) 533-6297
5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497
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 and National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Columbus, OH
- NPI 1265627301
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
Hospital & facility affiliations 2
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": "1428019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643068800000",
"number": "1376938571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5450 FRANTZ RD",
"address_2": "STE 360",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430164134",
"telephone_number": "614-544-6161",
"fax_number": "614-544-6370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MCCONNELL DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432143463",
"telephone_number": "614-566-5019"
}
],
"practiceLocations": [
{
"address_1": "3595 Olentangy River Rd",
"address_2": "Riverside Community Medicine",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432143440",
"country_code": "US",
"telephone_number": "614-566-5456",
"fax_number": "614-566-6902",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERTKE",
"first_name": "KERRY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-03",
"last_updated": "2022-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "AZ",
"license": "007521",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "OH",
"license": "34.013721",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kbertke53093@direct.ohiohealth.com",
"affiliation": "Y",
"affiliationName": "OhioHealth Physician Group",
"address_1": "800 McConnell Dr",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432143463",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.