Individual provider Active NPI

Carolyn M Berg, M.D.

  • Surgery of the Hand (Surgery) Physician
  • Tulsa, OK
National Provider Identifier
1649589227
Registry record updated May 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
31095 Issued in OK
Practice address
8110 S Yale Ave
Tulsa, OK 74137-2291
Phone
(918) 583-4400
Fax
(918) 583-7908
NPI assigned
Sep 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 31095 OK
Surgery of the Hand (Surgery) Physician 2086S0105X 31095 OK Primary
Surgery of the Hand (Surgery) Physician 2086S0105X N6172 TX
Surgery Physician 208600000X N6172 TX

Addresses

Primary practice location

8110 S Yale Ave
Tulsa, OK 74137-2291

Mailing address

8110 S Yale Ave
Tulsa, OK 74137-2291
Phone (918) 583-4400

Other identifiers 1

IdentifierTypeStateIssuer
200573930AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20150219000987 OK Practitioner - Hand SurgeryPractitioner - General Surgery 4486805199 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: General Surgery
Education
Baylor College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8110 S Yale Ave
Tulsa, OK 74137-2210
Phone (918) 583-4400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)15
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N6172TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopedic Specialists of Tulsa CurrentSince Mar 1, 2022 Accepting new patients
Northeast Oklahoma Hand & Upper Extremity Surgery PLLC Surgery of the Hand CurrentSince Dec 12, 2023 Accepting new patients

Locations

2448 E 81st St
Ste 1520
Tulsa, OK 74137
Phone (918) 481-2767

6475 S Yale Ave
Ste 301
Tulsa, OK 74136
Phone (918) 494-9300

8110 S Yale Ave
Tulsa, OK 74137
Phone (918) 488-0990

Interoperability endpoints

  • Direct secure messaging: carolyn.berg@3482.securemail.prognocis.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFHGDD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Oklahoma Surgical Hospital LLCTulsa, OK, CCN 370210 Hospital General Partnership Interest (1.22%) Dec 26, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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 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": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777766400000",
    "number": "1649589227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372291",
            "telephone_number": "918-583-4400",
            "fax_number": "918-583-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372291",
            "telephone_number": "918-583-4400",
            "fax_number": "918-583-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "CAROLYN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-30",
        "last_updated": "2026-05-03",
        "certification_date": "2026-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "31095",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "OK",
            "license": "31095",
            "primary": true
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "TX",
            "license": "N6172",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N6172",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200573930A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.