Active NPI
Tami Lee Berry, M.D.
- Surgery Physician
- Wynnewood, PA
National Provider Identifier
1659525467
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Feb 19, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MT191049
- Practice address
- 100 E Lancaster Ave
Msob 422
Wynnewood, PA 19096-3450 - Phone
- (610) 645-2169
- NPI assigned
- Nov 6, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MT191049 | PA | Primary |
Addresses
Primary practice location
100 E Lancaster Ave
Msob 422
Wynnewood, PA 19096-3450
Mailing address
1600 Hagys Ford Rd
Unit 8P
Penn Valley, PA 19072-1051
Phone (646) 549-1783
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT191049 | PA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225929600000",
"number": "1659525467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 HAGYS FORD RD",
"address_2": "UNIT 8P",
"city": "PENN VALLEY",
"state": "PA",
"postal_code": "190721051",
"telephone_number": "646-549-1783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E LANCASTER AVE",
"address_2": "MSOB 422",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963450",
"telephone_number": "610-645-2169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "TAMI",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-06",
"last_updated": "2008-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MT191049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wynnewood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.