Individual provider Active NPI

Thomas Joseph Berryman, DPM

  • Podiatrist
  • East Stroudsburg, PA
National Provider Identifier
1558398248
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC003710L Issued in PA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PO33366OtherPATRICARE
6011981OtherPAAETNA GHI
5245200OtherPAAETNA PPO
732465OtherPAAETNA HMO
801461OtherPAFPH
20788OtherPAGEINSINGER
BE792609OtherPABLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 100Reported as individual
Quality
45
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue263
Removal of nail tissue1705
Removal or shaving of skin growth309

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.

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

Verify at the official NPI Registry.