Individual provider Active NPI

John A Berdini, MD

  • Family Medicine Physician
  • Riegelsville, PA
National Provider Identifier
1457316044
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD044496L Issued in PA
Practice address
302 Ash Lane
Riegelsville, PA 18077
Phone
(610) 749-2118
Fax
(610) 749-0936
NPI assigned
Apr 18, 2006
Last updated
Apr 28, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

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 MD044496L PA Primary

Addresses

Primary practice location

302 Ash Lane
Riegelsville, PA 18077

Mailing address

302 Ash LN
Riegelsville, PA 18077-8001
Phone (610) 749-2118

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
I20110512000670 PA Practitioner - Family Practice 7517143373 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD044496LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. Family Medicine Current Accepting new patients
St. Luke's Physician Group, Inc. Family Medicine CurrentSince Sep 7, 1999 Accepting new patients
St Luke's Physician Group Inc Family Medicine CurrentSince Sep 7, 1999 Accepting new patients

Locations

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

925 Main St
Ste 100
Pennsburg, PA 18073
Phone (215) 541-1333

Interoperability endpoints

  • Direct secure messaging: jberdini14876@direct-sluhn.org

Organizations & group practices 3

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240876800000",
    "number": "1457316044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 ASH LN",
            "city": "RIEGELSVILLE",
            "state": "PA",
            "postal_code": "180778001",
            "telephone_number": "610-749-2118",
            "fax_number": "610-749-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 ASH LANE",
            "city": "RIEGELSVILLE",
            "state": "PA",
            "postal_code": "18077",
            "telephone_number": "610-749-2118",
            "fax_number": "610-749-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERDINI",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2009-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD044496L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riegelsville, PA

Sources for this page

Verify at the official NPI Registry.