Individual provider Active NPI

John E Beresh, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Hamilton, OH
National Provider Identifier
1700845344
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
35086579 Issued in OH
Practice address
840 NW Washington Blvd
Suite C
Hamilton, OH 45013-6384
Phone
(513) 869-7399
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 35086579 OH Primary

Addresses

Primary practice location

840 NW Washington Blvd
Suite C
Hamilton, OH 45013-6384

Mailing address

840 NW Washington Blvd
Suite C
Hamilton, OH 45013-6384
Phone (513) 869-7399

Other identifiers 1

IdentifierTypeStateIssuer
2614602MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20060207000740 OH Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 3971518358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Cincinnati College of Medicine and Surgery, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beresh Pain ManagementGroup PAC ID 1557454782, 6 clinicians

Practice addresses (Care Compare)

840 NW Washington Blvd
Suite C
Hamilton, OH 45013-6381
Phone (815) 263-8016

Merit-based Incentive Payment System (MIPS)

Final score
93.43 of 100Reported as individual
Quality
68.07
Promoting interoperability
100
Improvement activities
40
Cost
84.59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35086579OHMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beresh Pain Management Pain Medicine CurrentSince Jul 1, 2007 Accepting new patients
Cincinnati Centers for Pain Relief Inc Pain Medicine Past Accepting new patients
Tristate Orthopaedic Treatment Center, Inc. Past Accepting new patients
Helen Holtman, M.D. and Associates Inc. PastSince Oct 1, 2007 Accepting new patients

Locations

840 NW Washington Blvd
Ste D
Hamilton, OH 45013

840 NW Washington Blvd
Ste C
Hamilton, OH 45013
Phone (513) 737-7246

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1258/brand/1/csg/1/fhir/r4
  • Direct secure messaging: john.beresh.1@1258.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700845344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 NW WASHINGTON BLVD",
            "address_2": "SUITE C",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450136384",
            "telephone_number": "513-869-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 NW WASHINGTON BLVD",
            "address_2": "SUITE C",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450136384",
            "telephone_number": "513-869-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERESH",
        "first_name": "JOHN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "35086579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2614602",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.