Active NPI
Thomas Joseph Berryman, DPM
- Podiatrist
- East Stroudsburg, PA
National Provider Identifier
1558398248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC003710L
- Practice address
- 400 Plaza Court
Suite B
East Stroudsburg, PA 18301 - Phone
- (570) 421-5530
- Fax
- (570) 424-6528
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC003710L | PA | Primary |
Addresses
Primary practice location
400 Plaza Court
Suite B
East Stroudsburg, PA 18301
Mailing address
400 Plaza Court
Suite B
East Stroudsburg, PA 18301
Phone (570) 421-5530
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PO33366 | Other | PA | TRICARE |
| 6011981 | Other | PA | AETNA GHI |
| 5245200 | Other | PA | AETNA PPO |
| 732465 | Other | PA | AETNA HMO |
| 801461 | Other | PA | FPH |
| 20788 | Other | PA | GEINSINGER |
| BE792609 | Other | PA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100923000169 | PA | Practitioner - Podiatry | 1658497086 | Practice locations: East Stroudsburg, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
200 B Eaglesmere Cir
East Stroudsburg, PA 18301-3148
Phone (570) 421-5530
200 B Eaglesmere Circle
East Stroudsburg, PA 18301-3148
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.19 of 100
- Quality
- 45
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 263 |
| Removal of nail tissue | 1705 |
| Removal or shaving of skin growth | 309 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- East Stroudsburg, PA
- NPI 1568459436
-
- Rehabilitation Hospital Unit
- East Stroudsburg, PA
- NPI 1780135434
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Stroudsburg, PA
- NPI 1396194197
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": "1183852800000",
"number": "1558398248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 PLAZA COURT",
"address_2": "SUITE B",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "18301",
"telephone_number": "570-421-5530",
"fax_number": "570-424-6528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 PLAZA COURT",
"address_2": "SUITE B",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "18301",
"telephone_number": "570-421-5530",
"fax_number": "570-424-6528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRYMAN",
"first_name": "THOMAS",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC003710L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "PO33366",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA GHI",
"identifier": "6011981",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "5245200",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "732465",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FPH",
"identifier": "801461",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEINSINGER",
"identifier": "20788",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "BE792609",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.