Active NPI
Shari D. Berl, D.O.
- Family Medicine Physician
- El Mirage, AZ
National Provider Identifier
1730143074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 05-20392
- Practice address
- 12428 W Thunderbird Rd
El Mirage, AZ 85335-3113 - Phone
- (623) 344-6500
- Fax
- (623) 344-6501
- NPI assigned
- Apr 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 05-20392 | KS | Primary |
Addresses
Primary practice location
12428 W Thunderbird Rd
El Mirage, AZ 85335-3113
Mailing address
40133 N Lytham Way
Anthem, AZ 85086-2926
Phone (913) 894-6500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CD6440 | Other | KS | MEDICARE RAILROAD GRP # |
| 120002133 | Other | KS | MEDICARE RAILROAD PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- sberl128475@direct.valleywisehealth.org
Organizations & group practices 1
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": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489104000000",
"number": "1730143074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40133 N LYTHAM WAY",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850862926",
"telephone_number": "913-894-6500",
"fax_number": "913-894-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12428 W THUNDERBIRD RD",
"city": "EL MIRAGE",
"state": "AZ",
"postal_code": "853353113",
"telephone_number": "623-344-6500",
"fax_number": "623-344-6501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERL",
"first_name": "SHARI",
"middle_name": "D.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-13",
"last_updated": "2017-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "05-20392",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD GRP #",
"identifier": "CD6440",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD PIN",
"identifier": "120002133",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Mirage, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.