Individual provider Active NPI

Steven L Berry, MD

  • Family Medicine Physician
  • Orem, UT
National Provider Identifier
1528095312
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
343507-1205 Issued in UT
Practice address
173 N 400 W
Ste C 11
Orem, UT 84057-1909
Phone
(801) 802-7373
Fax
(801) 802-7733
NPI assigned
Jun 27, 2006
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 343507-1205 UT Primary

Addresses

Primary practice location

173 N 400 W
Ste C 11
Orem, UT 84057-1909

Mailing address

1055 N 500 W
Credentialing Department
Provo, UT 84604-3305
Phone (801) 354-8225

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address medreview@reverehealth.com Revere Health PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090205000372 UT Practitioner - Family Practice 9436213469 Reassigns benefits to 2 organizations
I20250422001325 ID Practitioner - Family Practice 9436213469 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Utah School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revere Health PCGroup PAC ID 7517868508, 407 clinicians

Practice addresses (Care Compare)

173 N 400
Suite C11
Orem, UT 84057-1909
Phone (801) 802-7373

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Family Practice Inc Family Medicine CurrentSince Feb 10, 2025 Accepting new patients
J M Geiss DO Apc Family Medicine CurrentSince Mar 23, 2025 Accepting new patients
Revere Health PC CurrentSince Dec 31, 2008 Accepting new patients
Associates in Family Practice Inc Family Medicine CurrentSince Feb 10, 2025 Accepting new patients
Senior Doc Id Medical, PC Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
Senior Doc Idaho PC Family Medicine CurrentSince Mar 4, 2025 Accepting new patients
Precision Medical Care LLC Family Medicine CurrentSince Oct 21, 2022 Accepting new patients
Revere Health PC CurrentSince Dec 31, 2008 Accepting new patients
Associates in Family Practice Inc Family Medicine Current Accepting new patients

Locations

2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271

425 Idaho St
Gooding, ID 83330
Phone (208) 934-5900

640 Frogs Lndg
Hagerman, ID 83332
Phone (208) 731-6241

3155 Channing Way
Idaho Falls, ID 83404
Phone (801) 699-6344

4301 Garrity Blvd
Ste 103
Nampa, ID 83687
Phone (208) 463-0700

410 N Idaho St
Wendell, ID 83355
Phone (208) 536-3995

1633 W Innovation Way
Fl 5
Lehi, UT 84043
Phone (801) 699-6344

173 N 400 W
Orem, UT 84057

173 N 400 W
Ste C
Orem, UT 84057
Phone (801) 802-7373

173 N 400 W
Ste C11
Orem, UT 84057
Phone (801) 802-7373

1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000

1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362

Interoperability endpoints

  • Direct secure messaging: stevenberry@cuccu.allscriptsdirect.net

Organizations & group practices 9

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 4

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1528095312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 500 W",
            "address_2": "CREDENTIALING DEPARTMENT",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043305",
            "telephone_number": "801-354-8225",
            "fax_number": "801-429-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 N 400 W",
            "address_2": "STE C 11",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840571909",
            "telephone_number": "801-802-7373",
            "fax_number": "801-802-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "STEVEN",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "343507-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medreview@reverehealth.com",
            "affiliation": "Y",
            "affiliationName": "Revere Health PC",
            "address_1": "173 N 400 W",
            "address_2": "Ste C 11",
            "city": "Orem",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840571909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.