Individual provider Active NPI

Louis John Berges Jr., MD

  • Anesthesiology Physician
  • Seaford, DE
National Provider Identifier
1417952987
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD040148E Issued in PA
Practice address
801 Middleford Rd
Nanticoke Hospital
Seaford, DE 19973
Phone
(302) 629-6611
Fax
(302) 628-6359
NPI assigned
Jun 20, 2005
Last updated
May 30, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD040148E PA Primary

Addresses

Primary practice location

801 Middleford Rd
Nanticoke Hospital
Seaford, DE 19973

Mailing address

2 Reads Way
Suite# 201
New Castle, DE 19720-1630
Phone (302) 709-4510

Other identifiers 1

IdentifierTypeStateIssuer
1106503MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20181016000145 PA Practitioner - Anesthesiology 8921901554 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD040148EPAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Huntingdon Valley Anesthesia Associates CurrentSince Jul 7, 2020 Accepting new patients
Synergy Anesthesia Associates, Inc. Past Accepting new patients
Mainland Anesthesia Associates, PC Anesthesiology Past Accepting new patients
James F Noone MD PC Past Accepting new patients
Atlanticare Regional Medical Center Anesthesiology Past Accepting new patients
Coastal Anesthesia Associates, PC PastSince Oct 26, 2003 Accepting new patients

Locations

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

1650 Huntingdon Pike
Ste 313
Meadowbrook, PA 19046
Phone (215) 938-3413

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1417952987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 READS WAY",
            "address_2": "SUITE# 201",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197201630",
            "telephone_number": "302-709-4510",
            "fax_number": "302-356-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MIDDLEFORD RD",
            "address_2": "NANTICOKE HOSPITAL",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "19973",
            "telephone_number": "302-629-6611",
            "fax_number": "302-628-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGES",
        "first_name": "LOUIS",
        "middle_name": "JOHN",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD040148E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1106503",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

Verify at the official NPI Registry.