Organization Active NPI

Kenneth G Berliner MD PA

Doing business as Lonestar Orthopedics

  • Specialist
  • Houston, TX
National Provider Identifier
1518212224
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MK3682 Issued in TX
Legal business name
KENNETH G BERLINER MD PA
Doing business as
Lonestar Orthopedics
Practice address
4710 Katy Fwy
Houston, TX 77007-2204
Phone
(713) 936-5735
Fax
(281) 875-0316
NPI assigned
Jul 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Authorized official

Name
Brenda Gonzalez
Title
Office Manager
Phone
(713) 936-5735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MK3682 TX Primary

Addresses

Primary practice location

4710 Katy Fwy
Houston, TX 77007-2204

Mailing address

4710 Katy Fwy
Houston, TX 77007-2204
Phone (713) 936-5735

Other names 1

  • Lonestar Orthopedics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121102000473 TX Part B Supplier - Clinic/Group Practice 3678724481 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1518212224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 KATY FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770072204",
            "telephone_number": "713-936-5735",
            "fax_number": "281-875-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 KATY FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770072204",
            "telephone_number": "713-936-5735",
            "fax_number": "281-875-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH G BERLINER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "713-936-5735"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "MK3682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lonestar Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.