Individual provider Active NPI

Joseph Berenholz, M.D.

  • Obstetrics & Gynecology Physician
  • Farmington Hills, MI
National Provider Identifier
1730138173
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
JB045238 Issued in MI
Practice address
30445 Northwestern Hwy Ofc 100
Farmington Hills, MI 48334-3168
Phone
(248) 865-0426
Fax
(248) 865-0430
NPI assigned
May 10, 2006
Last updated
Jan 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X JB045238 MI Primary

Addresses

Primary practice location

30445 Northwestern Hwy Ofc 100
Farmington Hills, MI 48334-3168

Mailing address

30445 Northwestern Hwy Ofc 100
Farmington Hills, MI 48334-3168
Phone (248) 865-0426

Other identifiers 10

IdentifierTypeStateIssuer
0630441OtherMIBCBS OF MICHIGAN
127194OtherMICARE CHOICES
6171151004OtherMICIGNA
4144359MedicaidMI
B45518OtherMIHEALTH ALLIANCE PLAN
0630441OtherMIBLUE CARE NETWORK
383472675OtherMIAETNA
1010318-0004OtherMIWELLNESS PLAN
B7870OtherMIM-CARE
232891OtherMIOMNI CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20060803000213 MI Practitioner - Obstetrics/Gynecology 9032122619 Reassigns benefits to 1 organization
Practice locations: Farmington Hills, MI

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30445 Northwestern Hwy
Ofc 100
Farmington Hills, MI 48334-3168
Phone (248) 865-0426

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
JB045238MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Better Womens Care PLLC Obstetrics & Gynecology CurrentSince Jul 1, 2006 Accepting new patients
Luke OBGYN Care PC Obstetrics & Gynecology Current Accepting new patients
Joseph J. Prezzato M.D., PLLC Obstetrics & Gynecology PastSince Apr 1, 2012 Accepting new patients
Lorna Thomas, M.D., P.C. PastSince May 2, 2017 Accepting new patients

Locations

30445 Northwestern Hwy
Ofc 142
Farmington Hills, MI 48334
Phone (248) 948-6900

29425 Northwestern Hwy
Ste 200
Southfield, MI 48034
Phone (248) 948-6900

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

Hospital & facility affiliations 1

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1730138173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30445 NORTHWESTERN HWY OFC 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343168",
            "telephone_number": "248-865-0426",
            "fax_number": "248-865-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30445 NORTHWESTERN HWY OFC 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343168",
            "telephone_number": "248-865-0426",
            "fax_number": "248-865-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERENHOLZ",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "JB045238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "0630441",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "127194",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6171151004",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4144359",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "B45518",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "0630441",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "383472675",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLNESS PLAN",
            "identifier": "1010318-0004",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE",
            "identifier": "B7870",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMNI CARE",
            "identifier": "232891",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.