Jonathan H Berkoff, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Milwaukee, WI
NPI 1679623326 · NPPES record last updated May 1, 2009
Key facts
- NPI
- 1679623326
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 37497 (WI)
- Practice address
- 2350 N Lake Dr
Suite 500
Milwaukee, WI 53211-4528 - Phone
- (414) 289-9669
- Fax
- (414) 289-9693
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Owned or controlled facilities with NPI records 6
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- University of Wisconsin School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Madison Medical Affiliates Inc
Practice addresses (Care Compare)
2350 N Lake Dr
Suite 500
Milwaukee, WI 53211-4528
Phone (414) 289-9669
Hospital & facility affiliations
- Ascension Columbia St Marys Hospital Milwaukee
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Ascension SE Wisconsin Hospital |
Hospital | Corporate Director | Jul 1, 2023 |
| Ascension All Saints Hospital |
Hospital | Corporate Director | Jul 1, 2023 |
| Ascension Sacred Heart Rehabilitation Hospital |
Hospital | Corporate Director | Jul 1, 2023 |
| Ascension St Francis Hospital |
Hospital | Corporate Director | Jul 1, 2023 |
| Ascension SE Wisconsin Hospital-Elmbrook Campus |
Hospital | Corporate Director | Jul 1, 2023 |
| Ascension All Saints Hospital |
Hospital | Corporate Director | Jul 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090128000553 | WI | Practitioner - Obstetrics/Gynecology | 4688738107 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37497 | WI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Medical Affiliates, Inc. | Current |
Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee Inc | Current |
Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current |
Accepting new patients |
Locations
7423 Solutions Ctr
Chicago, IL 60677
788 N Jefferson St
Ste 300
Milwaukee, WI 53202
Phone (414) 272-8950
2350 N Lake Dr
Ste 500
Milwaukee, WI 53211
Phone (414) 226-4020
2350 N Lake Dr
Ste 502
Milwaukee, WI 53211
Phone (414) 271-3300
2350 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1556
788 N Jefferson St
Ste 401
Milwaukee, WI 53202
Phone (414) 226-4020
801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600
Interoperability endpoints
- jonathan.berkoff.1@11299.direct.athenahealth.com
- https://api.platform.athenahealth.com/11299/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 37497 | WI | Yes |
Addresses
Primary practice location
2350 N Lake Dr
Suite 500
Milwaukee, WI 53211-4528
Mailing address
2350 N Lake Dr
Suite 500
Milwaukee, WI 53211-4528
Phone (414) 289-9669
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32204100 | Medicaid | WI |
Other providers in Milwaukee, WI
- Candace Rae Bering
- Sara Beringer
- Katelyn Berken
- Keana Crystal Berkhalter
- Greta Marie Berkhof
- Naomi Berkowitz
- Jon Berlin
- Kathryn Elizabeth Kaye Berlin
- Kyle S Berlin
- Adam Matthew Berman
All providers in Milwaukee, WI · Obstetrics & Gynecology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2009. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.