Active NPI
Lorraine Beraho, M.D., M.P.H.
- Pediatrics Physician
- Rockville, MD
National Provider Identifier
1710242789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 156809
- Practice address
- 9740 Traville Gateway Dr
Rockville, MD 20850-7409 - Phone
- (301) 605-0692
- NPI assigned
- Jul 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0116024926 | VA | |
| Pediatrics Physician | 208000000X | 156809 | CA | Primary |
Addresses
Primary practice location
9740 Traville Gateway Dr
Rockville, MD 20850-7409
Mailing address
9740 Traville Gateway Dr
Rockville, MD 20850-7409
Phone (301) 605-0692
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 156809 | CA | MD | Pediatrics Physician |
| 0116024926 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital | Pediatrics | Current | Accepting new patients |
| Kiira Health Practice Ca PC | Current | Accepting new patients | |
| Children'S Hospital | Current | Accepting new patients | |
| Children'S Hospital | Current | Accepting new patients | |
| Positive Development of California PC | Past | Accepting new patients | |
| Total Access Medical Services LLC | Past | Accepting new patients |
Locations
111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670
1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000
Interoperability endpoints
- lberaho1325304@direct.hopkinsmedicine.org
- https://api.platform.athenahealth.com/16248/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Children's Hospital
- Washington, DC
- NPI 1912939703
-
- Community/Retail Pharmacy
- Silver Spring, MD
- NPI 1326878349
-
- Pediatrics Physician
- Washington, DC
- NPI 1780800128
-
- General Practice Physician
- Los Angeles, CA
- NPI 1255939674
-
- Urgent Care Clinic/Center
- Rockville, MD
- NPI 1023555273
-
- Psychologist
- Whittier, CA
- NPI 1538769617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1710242789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9740 TRAVILLE GATEWAY DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208507409",
"telephone_number": "301-605-0692",
"fax_number": "202-548-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9740 TRAVILLE GATEWAY DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208507409",
"telephone_number": "301-605-0692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERAHO",
"first_name": "LORRAINE",
"credential": "M.D., M.P.H.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-05",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0116024926",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "156809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.