NPIMap

Individual provider Active NPI

Michael Anthony Berk, MD

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1700802014
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R5J82 Issued in MO
Practice address
4320 Forest Park Ave
Ste 1100
Saint Louis, MO 63108-2979
Phone
(314) 333-4100
Fax
(314) 333-4115
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X R5J82 MO
Internal Medicine Physician 207R00000X R5J82 MO Primary

Addresses

Primary practice location

4320 Forest Park Ave
Ste 1100
Saint Louis, MO 63108-2979

Mailing address

PO Box 7412037
Chicago, IL 60674-2037
Phone (314) 333-4100

Other identifiers 1

IdentifierTypeStateIssuer
202637104MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040810001148 MO Practitioner - EndocrinologyPractitioner - Internal Medicine 2365414364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Indiana University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington University Clinical Associates LLCGroup PAC ID 6002895893, 11 clinicians

Practice addresses (Care Compare)

4320 Forest Park Ave
Suite 1100
Saint Louis, MO 63108-2979
Phone (314) 333-4100

Hospital & facility affiliations

  • BJC Home Care Services Home health agency, Saint Louis, MO, CCN 267276
  • Barnes Jewish Hospital Hospital, Saint Louis, MO, CCN 260032
  • Missouri Baptist Medical Center Hospital, Saint Louis, MO, CCN 260108
  • Memorial Hospital Hospital, Belleville, IL, CCN 140185
  • Barnes-Jewish West County Hospital Hospital, Creve Coeur, MO, CCN 260162
  • Barnes-Jewish St Peters Hospital Hospital, Saint Peters, MO, CCN 260191
  • SSM Health Rehabilitation Hospital Inpatient rehabilitation facility, Richmond Heights, MO, CCN 263031

Merit-based Incentive Payment System (MIPS)

Final score
92.66 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
75.54

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University Clinical Associates LLC CurrentSince Apr 1, 2004 Accepting new patients
Washington University CurrentSince Apr 1, 2004 Accepting new patients
Washington University Clinical Associates CurrentSince Apr 1, 2004 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454

4921 Parkview Pl
Ste 13A
Saint Louis, MO 63110
Phone (314) 333-4100

4320 Forest Park Ave
Ste 1100
Saint Louis, MO 63108
Phone (314) 333-4100

Interoperability endpoints

  • Direct secure messaging: mberk164357@direct.carenet.org

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.

Hospital & facility affiliations 7

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1700802014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412037",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742037",
            "telephone_number": "314-333-4100",
            "fax_number": "314-333-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 FOREST PARK AVE",
            "address_2": "STE 1100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082979",
            "telephone_number": "314-333-4100",
            "fax_number": "314-333-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERK",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MO",
            "license": "R5J82",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R5J82",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202637104",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "4320 Forest Park Ave",
            "address_2": "Ste 1100",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631082979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.