Individual provider Active NPI

Lee Berman, M.D

  • Psychiatry Physician
  • Dubuque, IA
National Provider Identifier
1508271867
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD44863 Issued in IA
Practice address
200 Mercy Dr Ste 201
Dubuque, IA 52001
Phone
(563) 584-3500
Fax
(563) 584-3520
NPI assigned
Jun 25, 2014
Last updated
Jul 11, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD44863 IA Primary

Addresses

Primary practice location

200 Mercy Dr Ste 201
Dubuque, IA 52001

Mailing address

200 Mercy Dr Ste 201
Dubuque, IA 52001-7300
Phone (563) 584-3500

Other practice location 1

1901 N DuPont Hwy
New Castle, DE 19720-1100
Phone (302) 255-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20180731000329 IA Practitioner - Psychiatry 7416205091 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates Clinic P CGroup PAC ID 3870491228, 228 clinicians

Practice addresses (Care Compare)

200 Mercy Dr
Suite 201
Dubuque, IA 52001-7300
Phone (563) 584-3500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD44863IAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Specialty Clinic CurrentSince Jul 1, 2022 Accepting new patients
Mercy Specialty Clinic CurrentSince Jul 1, 2022 Accepting new patients
Medical Associates Clinic P C CurrentSince Jul 16, 2018 Accepting new patients
Mercy Medical Center-Dubuque CurrentSince May 1, 2023 Accepting new patients
Crescent Community Health Center CurrentSince Oct 17, 2020 Accepting new patients
Medical Associates of Clinton, Iowa P.L.C. Current Accepting new patients
Mercy Medical Center-Dubuque CurrentSince May 1, 2023 Accepting new patients
Mercy Medical Center-Clinton, Inc Past Accepting new patients

Locations

915 13th Ave N
Clinton, IA 52732
Phone (319) 243-2511

1000 Langworthy St
Dubuque, IA 52001
Phone (563) 584-3455

1500 Associates Dr
Dubuque, IA 52002
Phone (563) 584-4100

1690 Elm St
Ste 300
Dubuque, IA 52001
Phone (563) 690-2850

200 Mercy Dr
Ste 201
Dubuque, IA 52001
Phone (563) 584-3500

250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000

Interoperability endpoints

  • Direct secure messaging: lberman3930429@direct.trinity-health.org

Organizations & group practices 8

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 1

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": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1508271867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MERCY DR STE 201",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017300",
            "telephone_number": "563-584-3500",
            "fax_number": "563-584-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MERCY DR STE 201",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "52001",
            "telephone_number": "563-584-3500",
            "fax_number": "563-584-3520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 N DuPont Hwy",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "DE",
            "postal_code": "197201100",
            "country_code": "US",
            "telephone_number": "302-255-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "LEE",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-25",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "MD44863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.