Active NPI
Kieve M Berkwits, M.D.
- Pediatric Cardiology Physician
- Bridgeport, CT
National Provider Identifier
1477522902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 026361
- Practice address
- 226 Mill Hill Ave
3Rd Floor
Bridgeport, CT 06610-2811 - Phone
- (203) 384-3873
- Fax
- (203) 384-3829
- NPI assigned
- Mar 16, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026361 | CT | MD | Pediatric Cardiology Physician |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 026361 | CT | |
| Pediatric Cardiology Physician | 2080P0202X | 026361 | CT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
226 Mill Hill Ave
3Rd Floor
Bridgeport, CT 06610-2811
Mailing address
PO Box 5246
Bridgeport, CT 06610-0246
Phone (203) 384-3873
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001263615 | Medicaid | CT |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 29, 2012.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354147200000",
"number": "1477522902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5246",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066100246",
"telephone_number": "203-384-3873",
"fax_number": "203-384-3829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 MILL HILL AVE",
"address_2": "3RD FLOOR",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066102811",
"telephone_number": "203-384-3873",
"fax_number": "203-384-3829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERKWITS",
"first_name": "KIEVE",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2012-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "026361",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "CT",
"license": "026361",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001263615",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.