NPIMap

Individual provider Active NPI

Aster Berhane, M.D

  • Internal Medicine Physician
  • Crow Agency, MT
National Provider Identifier
1528276003
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301076321 Issued in MI
Practice address
10110 South 7650 East
Crow Agency, MT 59022-0009
Phone
(406) 638-3500
Fax
(406) 638-3569
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301076321 MI Primary
Internal Medicine Physician 207R00000X D0036608 MD

Addresses

Primary practice location

10110 South 7650 East
Crow Agency, MT 59022-0009

Mailing address

PO Box 9
Crow Agency, MT 59022-0009
Phone (406) 638-3443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, MD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241119001621 WV Practitioner - General Practice 4981838208 Reassigns benefits to 2 organizations
I20250206001839 MD Practitioner - General Practice 4981838208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Wayne State University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Potomac Valley Hospital of W VA , IncGroup PAC ID 8123917788, shared by 6 NPIs, 90 clinicians

Practice addresses (Care Compare)

100 Pin Oak LN
Keyser, WV 26726-5908
Phone (304) 597-3500

922 National Hwy
Lavale, MD 21502-7325
Phone (240) 362-7294

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0036608MDMDInternal Medicine Physician
4301076321MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Potomac Valley Hospital of WV, Inc. Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Specialty Physicians of Garrett County, LLC Current Accepting new patients
Specialty Physicians of Garrett County, LLC CurrentSince Dec 5, 2024 Accepting new patients
Potomac Valley Hospital of W VA , Inc CurrentSince Oct 1, 2024 Accepting new patients
Potomac Valley Hospital of W VA , Inc Current Accepting new patients

Locations

922 National Hwy
Lavale, MD 21502
Phone (240) 362-7294

880 Memorial Dr
Lowr Level
Oakland, MD 21550
Phone (301) 334-1177

100 Pin Oak Ln
Ste 3
Keyser, WV 26726
Phone (304) 597-3790

100 Pin Oak Ln
Keyser, WV 26726
Phone (304) 597-3500

Organizations & group practices 5

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.

Hospital & facility affiliations 9

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1528276003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "CROW AGENCY",
            "state": "MT",
            "postal_code": "590220009",
            "telephone_number": "406-638-3443",
            "fax_number": "406-638-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 SOUTH 7650 EAST",
            "city": "CROW AGENCY",
            "state": "MT",
            "postal_code": "590220009",
            "telephone_number": "406-638-3500",
            "fax_number": "406-638-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERHANE",
        "first_name": "ASTER",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301076321",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0036608",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crow Agency, MT

Sources for this page

Verify at the official NPI Registry.