Daniel Richard Bercik, MD
Individual provider Active NPI Anesthesiology Physician · New Haven, CT
NPI 1578090064 · NPPES record last updated Jul 20, 2021
Key facts
- NPI
- 1578090064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 1.069176 (CT)
- Practice address
- 1450 Chapel St # E2006
New Haven, CT 06511-4405 - Phone
- (203) 789-3538
- Fax
- (203) 867-5461
- NPI assigned
- May 16, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 12
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Ohio State University College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Yale University
Practice addresses (Care Compare)
20 York St
New Haven, CT 06510-3220
Phone (203) 688-2433
Hospital & facility affiliations
- Yale-New Haven Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 77.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.27
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210909003423 | CT | Practitioner - Anesthesiology | 2860898236 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1.069176 | CT | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Current |
Accepting new patients | |
| Yale University | Anesthesiology | Current |
Accepting new patients |
Locations
1450 Chapel St
#E2006
New Haven, CT 06511
Phone (203) 789-3538
50 Division St
New Haven, CT 06511
Phone (203) 785-2140
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
20 York St
North Haven, CT 06510
Phone (203) 688-2433
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 1.069176 | CT | Yes |
Addresses
Primary practice location
1450 Chapel St # E2006
New Haven, CT 06511-4405
Mailing address
1450 Chapel St # E2006
New Haven, CT 06511-4405
Other practice location 1
20 York St
New Haven, CT 06510-3220
Phone (203) 785-2802
Other providers in New Haven, CT
- Lester Bentley
- Amine Benyakoub
- Casey Leigh Benzaken
- Jorind Beqari
- Qendresa Beqiri
- Richard Steven Bercik
- Laura Berenstain
- Sarah E. Beres
- James David Bergene
- Eric Hoadley Berger
All providers in New Haven, CT · Anesthesiology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.