William Coleman Evans Berry, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Indianapolis, IN
NPI 1700312915 · NPPES record last updated Mar 3, 2025
Key facts
- NPI
- 1700312915
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 01086407A (IN)
- Practice address
- 550 University Blvd
Indianapolis, IN 46202-5149 - Phone
- (317) 944-8231
- Fax
- (317) 948-7300
- NPI assigned
- May 8, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Indiana University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iu Health Medical Group LLC
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Hospital & facility affiliations
- Indiana University Health
- Indiana University Health North Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210824000399 | IN | Practitioner - Obstetrics/Gynecology | 4880099274 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDR-7275 | HI | MD | Obstetrics & Gynecology Physician |
| 01086407A | IN | MD | Obstetrics & Gynecology Physician |
| MTL004541 | DC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Obstetricians-Gynecologists,Inc | Obstetrics & Gynecology | Current |
Accepting new patients |
| Iu Health Medical Group, LLC | Current |
Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
7845 Solution Ctr
Chicago, IL 60677
550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000
550 University Blvd
#2440
Indianapolis, IN 46202
Phone (317) 274-1661
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
550 University Blvd
Ste 2041
Indianapolis, IN 46202
Interoperability endpoints
- wberry12229@direct.eskenazihealth.edu
- wberry1@direct.iuhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MDR-7275 | HI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | HI | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | MTL004541 | DC | |
| Obstetrics & Gynecology Physician | 207V00000X | 01086407A | IN | Yes |
Addresses
Primary practice location
550 University Blvd
Indianapolis, IN 46202-5149
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
1319 Punahou St
#824
Honolulu, HI 96826-1001
Phone (808) 203-6500
Other practice location 2
1319 Punahou St
#824
Honolulu, HI 96826-1001
Phone (808) 203-6500
Other practice location 3
2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-3000
Other practice location 4
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300053998 | Medicaid | IN | |
| 000001586524 | Other | IN | ANTHEM PTAN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wberry1@direct.iuhealth.org | Direct | |
| Direct Messaging Address | wberry1@direct.iuhealth.org | Direct |
Other providers in Indianapolis, IN
- Rana Snipe Berry
- Rebecca Christine Berry
- Saundra K Berry
- Toccaria Berry
- William A Berry
- Zakkiryah Berry
- Linda Gioia Bertinasco
- Sarah Kathleen Bertoni
- Mary Beth Bertotti
- Bertram Anthony Graves, MD, PC
All providers in Indianapolis, IN · Obstetrics & Gynecology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2025. 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.
- 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.