Individual provider Active NPI

Deborah Bershel, MD

  • Family Medicine Physician
  • Somerville, MA
National Provider Identifier
1437257227
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
60194 Issued in MA
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
710390OtherMATUFTS HEALTH CARE
996748OtherMANETWORK HEALTH
7583OtherMAHARVARD PILGRIM HEALTH
3036642OtherMACIGNA
3036642MedicaidMA
1280812OtherMAFALLON HEALTH PLAN
3036642OtherMABCBS

Other names 1

  • Dr. Roy Berkowitz-Shelton Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050419001370 MA Practitioner - Family Practice 8123066297 Reassigns benefits to 1 organization

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
Davis Square Family PracticeGroup PAC ID 1355385196, 6 clinicians

Practice addresses (Care Compare)

255 Elm St
Suite 301
Somerville, MA 02144-2947
Phone (617) 666-9577

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Square Family Practice Family Medicine CurrentSince Jan 1, 2002 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.