Dan Beruti, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4030 Issued in AZ

Practice address

2020 N Central Ave
Suite 1010
Phoenix, AZ 85004-4501

Phone

(602) 553-8400

Fax

(602) 553-8408

NPI assigned

Aug 23, 2005

Last updated

Jan 22, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, CA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Cogent Healthcare of Arizona PC

  • Internal Medicine Physician
  • Sierra Vista, AZ
  • NPI 1568758266
  Medicare reassignment NPD
• Enlightened Healthcare Alliance Medical Corporation

  dba Good Medicine

  • Internal Medicine Physician
  • Encinitas, CA
  • NPI 1710458245
  Medicare reassignment NPD
• North County Inpatient Medical Alliance, a Medical Group, Inc

  dba Encinitas Hospitalist Associates, a Medical Group, Inc.

  • Hospitalist Physician
  • Encinitas, CA
  • NPI 1932108115
  Medicare reassignment NPD
• Encinitas Palliative Care Associates, Inc.

  • Internal Medicine Physician
  • Encinitas, CA
  • NPI 1093059776
  NPD (past)
• Premier Surgical Partners Inc

  • Urology Physician
  • Vista, CA
  • NPI 1134076060
  NPD (past)

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1710970983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N CENTRAL AVE",
            "address_2": "SUITE 1010",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044501",
            "telephone_number": "602-553-8400",
            "fax_number": "602-553-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N CENTRAL AVE",
            "address_2": "SUITE 1010",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044501",
            "telephone_number": "602-553-8400",
            "fax_number": "602-553-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERUTI",
        "first_name": "DAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "4030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "856669-01",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leigh Taylor Bertie
• Chelsea Aubree Bertolino, NP
• Robin M Bertozzi
• Erin Kathryn Bertram, M.A.
• Brayan Uriel Berumen Lomes, DPT
• Christine Besaw-McGavren, MC, LAC
• Steven Bescak, N.D.
• Bescare Home LLC
• Bescare Home LLC
• Timothy M Besch, M.D.

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.

Verify at the official NPI Registry.