Susannah Elizabeth Berke, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD454158 Issued in PA

Practice address

980 Beaver Grade Rd
Suite 10a
Coraopolis, PA 15108-2774

Phone

(412) 262-4911

NPI assigned

May 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

Temple University School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Three Rivers Dermatology LLCGroup PAC ID 9638487382, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15484/brand/1/csg/1/fhir/r4

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.

• Three Rivers Dermatology, LLC

  • Dermatology Physician
  • Coraopolis, PA
  • NPI 1962886424
  Medicare reassignment Care Compare group NPD
• Ira JK Cohen MD PC

  • Dermatology Physician
  • Moon Township, PA
  • NPI 1316955826
  NPD
• Carteret Medical Group LLC

  • Gastroenterology Physician
  • Morehead City, NC
  • NPI 1700164464
  NPD
• Crystal Coast Dermatology Services, PA

  • Dermatopathology Physician
  • Morehead City, NC
  • NPI 1841344843
  NPD
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)
• Mohs and Skin Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Lutherville, MD
  • NPI 1124492996
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1447468970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 BEAVER GRADE RD",
            "address_2": "SUITE 10A",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151082774",
            "telephone_number": "412-262-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 BEAVER GRADE RD",
            "address_2": "SUITE 10A",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151082774",
            "telephone_number": "412-262-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKE",
        "first_name": "SUSANNAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD454158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Lynn Beardmore
• John Thomas Beaupre, PA-C
• Beaver Valley Foot Clinic PC
• Pamela Bell, OTR
• Emily Belsito, LPC
• Lauren Elizabeth Bingham, BCBA
• Melissa Anne Bitsura, CRNP FNP DNP
• Kristen Black, OTR
• Mikayla Bogaski, MS
• Hannah Boggio, MS CCC-SLP

• Dermatology Physician in Coraopolis, PA
• Providers in Coraopolis, PA by specialty
• Dermatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.