Active NPI
Ruth Berger, PA
- Interventional Pain Medicine Physician
- Newburyport, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- PA6249
- Practice address
- 25 Highland Ave
Newburyport, MA 01950-3867 - Phone
- (978) 463-1045
- NPI assigned
- Jan 18, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0753 | NH | |
| Interventional Pain Medicine Physician | 208VP0014X | PA6249 | MA | Primary |
| Pain Medicine Physician | 208VP0000X | PA6249 | MA |
Addresses
Primary practice location
25 Highland Ave
Newburyport, MA 01950-3867
Mailing address
25 Highland Ave
Newburyport, MA 01950-3867
Other practice location 1
333 Borthwick Ave
Suite 301
Portsmouth, NH 03801-7128
Phone (603) 431-5858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100303000687 | NH | Practitioner - Physician Assistant | 1951446871 | Reassigns benefits to 1 organization |
| I20171109000248 | MA | Practitioner - Physician Assistant | 1951446871 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Simon Faynzilberg MD PC
Practice addresses (Care Compare)
25 Highland Ave
Newburyport, MA 01950-3867
Phone (978) 463-1000
Hospital & facility affiliations
- Anna Jaques Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA6249 | MA | MD | Pain Medicine Physician |
| 0753 | NH | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Pace Inc. | Past | Accepting new patients |
Locations
253 Pleasant St
Concord, NH 03301
Phone (603) 226-2200
333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907
Interoperability endpoints
- rberger448839@direct.bilh.masshiway.net
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
- Exclusive Provider Organization
- Portsmouth, NH
- NPI 1780183053
Hospital & facility affiliations 1
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": "1263772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601164800000",
"number": "1649501545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 HIGHLAND AVE",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019503867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 HIGHLAND AVE",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019503867",
"telephone_number": "978-463-1045"
}
],
"practiceLocations": [
{
"address_1": "333 Borthwick Ave",
"address_2": "Suite 301",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "NH",
"postal_code": "038017128",
"country_code": "US",
"telephone_number": "603-431-5858",
"fax_number": "603-431-5818",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERGER",
"first_name": "RUTH",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-18",
"last_updated": "2020-09-27",
"certification_date": "2020-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NH",
"license": "0753",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "MA",
"license": "PA6249",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "MA",
"license": "PA6249",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newburyport, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2020; 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.