Individual provider Active NPI

Todd Harry Berinstein, M.D.

  • Otolaryngology Physician
  • Vancouver, WA
National Provider Identifier
1508826744
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD00033729 Issued in WA
Practice address
2121 NE 139TH St #245
Vancouver, WA 98686
Phone
(360) 326-3966
Fax
(360) 859-3807
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD00033729 WA Primary
Otolaryngology Physician 207Y00000X MD20967 OR

Addresses

Primary practice location

2121 NE 139TH St #245
Vancouver, WA 98686

Mailing address

2121 NE 139TH St #245
Vancouver, WA 98686
Phone (360) 326-3966

Other identifiers 5

IdentifierTypeStateIssuer
300151206OtherORREGENCE BLUE CROSS HMOO
98683A005OtherWATRIWEST
0114182OtherWAWA DEPT OF LABOR & INDUST
1100775MedicaidWA
011826006OtherORREGENCE BLUE CROSS OF OR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20070219000711 WA Practitioner - Otolaryngology 7012810906

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD20967ORMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Entoffice.Org, PLLC CurrentSince Sep 16, 2011 Accepting new patients
Vancouver ENT and ENT of the Northwest PLLC PastSince Dec 14, 1998 Accepting new patients

Locations

2121 NE 139th St
Ste 245
Vancouver, WA 98686
Phone (360) 326-3966

2101 NE 139th St
Ste 285
Vancouver, WA 98686
Phone (360) 326-3966

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1508826744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 NE 139TH ST #245",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98686",
            "telephone_number": "360-326-3966",
            "fax_number": "360-859-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 NE 139TH ST #245",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98686",
            "telephone_number": "360-326-3966",
            "fax_number": "360-859-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERINSTEIN",
        "first_name": "TODD",
        "middle_name": "HARRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WA",
            "license": "MD00033729",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OR",
            "license": "MD20967",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE CROSS HMOO",
            "identifier": "300151206",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST",
            "identifier": "98683A005",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DEPT OF LABOR & INDUST",
            "identifier": "0114182",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1100775",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE CROSS OF OR",
            "identifier": "011826006",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.