Jeffrey G Berry, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

19893 Issued in OK

Practice address

1111 N Lee Ave
Ste 236
Oklahoma City, OK 73103-2600

Phone

(405) 524-4105

NPI assigned

Dec 2, 2005

Last updated

Oct 6, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

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

Anesthesiology

Education

University of Oklahoma College of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Medical Center Physicians LLCGroup PAC ID 3375761752, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Summit Medical Center, LLC Hospital, Edmond, OK, CCN 370225

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jberry@direct.uspi.com

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.

• Summit Medical Center Physicians, LLC

  • Anesthesiology Physician
  • Edmond, OK
  • NPI 1336554567
  Medicare reassignment Care Compare group NPD
• Newman Memorial Hospital, Inc

  • Critical Access Hospital
  • Shattuck, OK
  • NPI 1083617807
  Medicare reassignment NPD
• Jeffrey G Berry MD PC

  • Anesthesiology Physician
  • Oklahoma City, OK
  • NPI 1588846067
  Authorized official Same address or phone
• Group LLC

  dba The Bam Anesthesia Group

  • Anesthesiology Physician
  • Oklahoma City, OK
  • NPI 1881039014
  NPD
• Newman Memorial Hospital, Inc

  dba Newman Healthcare Associates Mooreland

  • Clinic/Center
  • Mooreland, OK
  • NPI 1497639181
  NPD
• Oklahoma Anesthesia Consultants Inc

  • Anesthesiology Physician
  • Oklahoma City, OK
  • NPI 1003899246
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  Care Compare affiliation

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1487638425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5366",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730835366",
            "telephone_number": "660-826-5960",
            "fax_number": "660-826-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N LEE AVE",
            "address_2": "STE 236",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032600",
            "telephone_number": "405-524-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "JEFFREY",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "19893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00643961",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100047890A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abbie Berry
• Amanda N Berry, D.O.
• Anita Berry
• Blakely Kecia Berry
• Deanna S Berry, DDS
• Jon Christian Berry, MD
• Jordan Clayton Taylor Berry
• Kristina Ann Berry, C.O.T.A.
• Lauren Paige Berry, AGNP-CNP
• Patricia A Berry, MOT, OTR/L

• Anesthesiology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Anesthesiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.