Active NPI
Rion Agar Berg, D.P.M.
- Podiatrist
- Seattle, WA
National Provider Identifier
1649342643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO00000286
- Practice address
- 2611 NE 125TH St
Ste 130
Seattle, WA 98125-4373 - Phone
- (206) 368-7000
- Fax
- (206) 361-9273
- NPI assigned
- Nov 14, 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 | PO00000286 | WA | Primary |
Addresses
Primary practice location
2611 NE 125TH St
Ste 130
Seattle, WA 98125-4373
Mailing address
2611 NE 125TH St
Ste 130
Seattle, WA 98125-4373
Phone (206) 368-7000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17323 | Other | WA | LABOR & INDUSTRIES |
| 5180330001 | Other | WA | DMERC |
| 1708908 | Medicaid | WA | |
| BE 2113 | Other | WA | REGENCE BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2611 NE 125TH St
Suite 130
Seattle, WA 98125-4357
Phone (206) 368-7000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 33 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 425 |
| Removal or shaving of skin growth | 42 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO00000286 | WA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot & Ankle Inc | Podiatrist | Current | Accepting new patients |
Locations
2611 NE 125th St
Ste 130
Seattle, WA 98125
Phone (206) 368-7000
Interoperability endpoints
- rion.berg@faacolc-wa.direct.office.nextgen.com
Organizations & group practices 1
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.
-
- Primary Podiatric Medicine Podiatrist
- Seattle, WA
- NPI 1669699781
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1326002049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203292800000",
"number": "1649342643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 NE 125TH ST",
"address_2": "STE 130",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981254373",
"telephone_number": "206-368-7000",
"fax_number": "206-361-9273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 NE 125TH ST",
"address_2": "STE 130",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981254373",
"telephone_number": "206-368-7000",
"fax_number": "206-361-9273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERG",
"first_name": "RION",
"middle_name": "AGAR",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2008-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WA",
"license": "PO00000286",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "17323",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "5180330001",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1708908",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "BE 2113",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; 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.