Kevin R Berry, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35048752 Issued in OH

Practice address

7277 Smiths Mill Rd
Suite # 250
New Albany, OH 43054-8195

Phone

(614) 221-7372

Fax

(614) 221-5613

NPI assigned

Jan 30, 2007

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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kevin.berry.p1@direct.beaconortho.nextgenshare.com

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.

• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Ohiohealth Corporation

  • Anesthesiology Physician
  • Columbus, OH
  • NPI 1407292105
  NPD (past)
• Ohiohealth Corporation

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1578545273

  Internal Medicine

  NPD (past)
• Starpath Orthopaedics & Sports Medicine, Inc.

  • Orthopaedic Surgery Physician
  • New Albany, OH
  • NPI 1548245566
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1720124217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 HARRISON AVE STE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477961",
            "telephone_number": "614-221-7372",
            "fax_number": "614-221-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7277 SMITHS MILL RD",
            "address_2": "SUITE # 250",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548195",
            "telephone_number": "614-221-7372",
            "fax_number": "614-221-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "KEVIN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35048752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0565517",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jimmie Carter Bell III
• Leonard G Bennett Jr., PHARMD
• Keith R Berend, MD
• Philip D Berger, MD
• Kurt A Berlekamp, PA-C
• Samira Yusuf Beyle
• BJ'S Wholesale Club Inc.
• Silvia Christine Blaha, D.C.
• Lauren Blake
• James D Bloch, DO

• Internal Medicine Physician in New Albany, OH
• Providers in New Albany, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.