Individual provider Active NPI

Richard Alan Berliner, DPM

  • Primary Podiatric Medicine Podiatrist
  • Mount Kisco, NY
National Provider Identifier
1740218171
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
N005062-1 Issued in NY
Practice address
359 E Main St
Suite 2D
Mount Kisco, NY 10549-3028
Phone
(914) 666-7367
Fax
(914) 666-7416
NPI assigned
Jun 28, 2006
Last updated
Oct 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005062-1 NY
Primary Podiatric Medicine Podiatrist 213EP1101X N005062-1 NY Primary
Radiology Podiatrist 213ER0200X N005062-1 NY
Sports Medicine Podiatrist 213ES0000X N005062-1 NY
Foot & Ankle Surgery Podiatrist 213ES0103X N005062-1 NY
Foot Surgery Podiatrist 213ES0131X N005062-1 NY

Addresses

Primary practice location

359 E Main St
Suite 2D
Mount Kisco, NY 10549-3028

Mailing address

344 E Main St Ste 206
Mount Kisco, NY 10549-3036
Phone (914) 666-7367

Other identifiers 1

IdentifierTypeStateIssuer
01632815MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070523000370 NY Practitioner - Podiatry 4385741586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Kisco Foot Specialists PLLCGroup PAC ID 0840397246, 2 clinicians

Practice addresses (Care Compare)

344 E Main St
Suite 206
Mount Kisco, NY 10549-3036
Phone (914) 666-7367

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue98
Removal of skin lesions1-10
Removal of nail tissue713
Removal or shaving of skin growth23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005062-1NYMDSports Medicine Podiatrist
005062NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Kisco Foot Specialists, PLLC Podiatrist CurrentSince Oct 1, 1994 Accepting new patients

Locations

344 E Main St
Ste 206
Mount Kisco, NY 10549
Phone (914) 244-3338

359 E Main St
Ste 2D
Mount Kisco, NY 10549
Phone (914) 666-7367

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: rberliner69102@northwell.direct-ci.com

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.

Hospital & facility affiliations 4

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1740218171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 E MAIN ST STE 206",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493036",
            "telephone_number": "914-666-7367",
            "fax_number": "914-666-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 E MAIN ST",
            "address_2": "SUITE 2D",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493028",
            "telephone_number": "914-666-7367",
            "fax_number": "914-666-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLINER",
        "first_name": "RICHARD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005062-1",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N005062-1",
            "primary": true
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "NY",
            "license": "N005062-1",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NY",
            "license": "N005062-1",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N005062-1",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005062-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01632815",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.