Michael Alan Berenhaus, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA0907 Issued in MD

Practice address

4300 E West Hwy
Bethesda, MD 20814-4433

Phone

(301) 656-0775

Fax

(301) 656-5164

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242259200000",
    "number": "1407905128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 E WEST HWY",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144433",
            "telephone_number": "301-656-0775",
            "fax_number": "301-656-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 E WEST HWY",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144433",
            "telephone_number": "301-656-0775",
            "fax_number": "301-656-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERENHAUS",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2009-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "148660",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Marie Benoit, MD
• Jonathan Bensing
• Andrew Scott Benson, PHARMD
• Elizabeth Bentivoglio, PA
• Elizabeth Pajel Berbano, MD, MPH
• Bailey Irving Berg
• Christine Dorothy Berg, M.D.
• Ethan Berg
• Brent A Berger, MD
• Marcy Berger

• Optometrist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.