Active NPI
Deborah Bershel, MD
- Family Medicine Physician
- Somerville, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 60194
- Practice address
- 260 Elm St
Suite 105
Somerville, MA 02144-2951 - Phone
- (617) 666-9577
- Fax
- (617) 666-3190
- NPI assigned
- Sep 20, 2006
- Last updated
- Mar 10, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 60194 | MA | Primary |
Addresses
Primary practice location
260 Elm St
Suite 105
Somerville, MA 02144-2951
Mailing address
260 Elm St
Suite 105
Somerville, MA 02144-2951
Phone (617) 666-9577
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 710390 | Other | MA | TUFTS HEALTH CARE |
| 996748 | Other | MA | NETWORK HEALTH |
| 7583 | Other | MA | HARVARD PILGRIM HEALTH |
| 3036642 | Other | MA | CIGNA |
| 3036642 | Medicaid | MA | |
| 1280812 | Other | MA | FALLON HEALTH PLAN |
| 3036642 | Other | MA | BCBS |
Other names 1
- Dr. Roy Berkowitz-Shelton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Georgetown University School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
255 Elm St
Suite 301
Somerville, MA 02144-2947
Phone (617) 666-9577
Hospital & facility affiliations
- Mount Auburn Hospital
- Lahey Hospital & Medical Center, Burlington
- Massachusetts General Hospital
- Beth Israel Deaconess Medical Center
- Melrosewakefield Healthcare
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davis Square Family Practice | Family Medicine | Current | Accepting new patients |
Locations
260 Elm St
Somerville, MA 02144
Phone (617) 666-9577
260 Elm St
Ste 105
Somerville, MA 02144
Phone (617) 571-2082
255 Elm St
Ste 301
Somerville, MA 02144
Phone (617) 666-9577
Interoperability endpoints
- dbershel91576@direct.bilh.masshiway.net
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Somerville, MA
- NPI 1780782409
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- General Acute Care Hospital
- Burlington, MA
- NPI 1558392563
-
- General Acute Care Hospital
- Medford, MA
- NPI 1841290467
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1689670259
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646870400000",
"number": "1437257227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 ELM ST",
"address_2": "SUITE 105",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021442951",
"telephone_number": "617-666-9577",
"fax_number": "617-666-3190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 ELM ST",
"address_2": "SUITE 105",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021442951",
"telephone_number": "617-666-9577",
"fax_number": "617-666-3190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERSHEL",
"first_name": "DEBORAH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2022-03-10",
"certification_date": "2022-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "60194",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH CARE",
"identifier": "710390",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "996748",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH",
"identifier": "7583",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3036642",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3036642",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON HEALTH PLAN",
"identifier": "1280812",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "3036642",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROY",
"last_name": "BERKOWITZ-SHELTON",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.