Individual provider Active NPI

Kathryn Lieber Berman, MD

  • Internal Medicine Physician
  • Denver, CO
National Provider Identifier
1558417154
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
47785 Issued in CO
Practice address
1100 Federal Blvd
Westside Family Health Center
Denver, CO 80204-3219
Phone
(303) 436-4202
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 47785 CO Primary

Addresses

Primary practice location

1100 Federal Blvd
Westside Family Health Center
Denver, CO 80204-3219

Mailing address

1100 Federal Blvd
Westside Adult Clinic
Denver, CO 80204-3219
Phone (303) 436-4200

Other identifiers 1

IdentifierTypeStateIssuer
59236299MedicaidCO

Other names 1

  • Kathryn Lieber Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kberman6551@direct.dhha.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090922000066 CO Practitioner - Internal Medicine 0749336493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tufts University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

10470 S Progress Way
Unit 104
Parker, CO 80134-4037
Phone (303) 617-4700

777 Bannock St
Denver, CO 80204-4507
Phone (303) 436-6000

777 Bannock St
Denver, CO 80204-4597

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47785COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Aug 10, 2009 Accepting new patients
Denver Health and Hospital Authority CurrentSince Aug 10, 2009 Accepting new patients
Denver Health and Hospital Authority Past Accepting new patients

Locations

1100 Federal Blvd
Denver, CO 80204
Phone (303) 436-4200

777 Bannock St
Denver, CO 80204

Interoperability endpoints

  • Direct secure messaging: kberman6551@direct.dhha.org

Organizations & group practices 3

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 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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1558417154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 FEDERAL BLVD",
            "address_2": "WESTSIDE ADULT CLINIC",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802043219",
            "telephone_number": "303-436-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 FEDERAL BLVD",
            "address_2": "WESTSIDE FAMILY HEALTH CENTER",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802043219",
            "telephone_number": "303-436-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "KATHRYN",
        "middle_name": "LIEBER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "47785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59236299",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kberman6551@direct.dhha.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "777 Bannock St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802044507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "LIEBER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.