Individual provider Active NPI

Kevin M Berman, MD

  • Cardiovascular Disease Physician
  • Phoenix, AZ
National Provider Identifier
1740287341
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
28977 Issued in AZ
Practice address
6036 N 19TH Ave Ste 510
Phoenix, AZ 85015-2143
Phone
(602) 973-1113
Fax
(602) 973-1116
NPI assigned
Jun 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 28977 AZ Primary

Addresses

Primary practice location

6036 N 19TH Ave Ste 510
Phoenix, AZ 85015-2143

Mailing address

3815 E Bell Rd Ste 2200
Phoenix, AZ 85032-2139
Phone (602) 633-3838

Other identifiers 5

IdentifierTypeStateIssuer
25-00625OtherAZUNITED HEALTHCARE
1Z5674OtherAZHEALTHNET
AZ0881510OtherAZBLUE CROSS BLUE SHIELD
060063387OtherAZRAILROAD MEDICARE
550211MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20080114000180 AZ Practitioner - Cardiovascular Disease (Cardiology) 9032290390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Oklahoma College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
National Cardiovascular Associates LLCGroup PAC ID 7315362969, 16 clinicians

Practice addresses (Care Compare)

12361 W Bola Dr
Suite 100
Surprise, AZ 85378-9021
Phone (602) 641-9486

Hospital & facility affiliations

  • Verde Valley Medical Center Hospital, Cottonwood, AZ, CCN 030007
  • Flagstaff Medical Center Hospital, Flagstaff, AZ, CCN 030023

Merit-based Incentive Payment System (MIPS)

Final score
20.42 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
68.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Development of West Phoenix Inc Cardiovascular Disease CurrentSince Mar 13, 2017 Accepting new patients
National Cardiovascular Associates, LLC Cardiovascular Disease CurrentSince Jun 15, 2021 Accepting new patients
VHS of Arrowhead Inc Cardiovascular Disease Past Accepting new patients
Privia Medical Group Arizona, LLC Family Medicine PastSince May 17, 2020 Accepting new patients
Cardiovascular Consultants LTD Past Accepting new patients
Schuster Cardiology Associates, Inc. Cardiovascular Disease Past Accepting new patients

Locations

10825 W McDowell Rd
Ste 310
Avondale, AZ 85392
Phone (602) 698-7325

203 S Candy Ln
Ste 4A
Cottonwood, AZ 86326
Phone (928) 649-1389

1501 S Yale St
Ste 152
Flagstaff, AZ 86001
Phone (254) 747-5243

1501 S Yale St
Ste 150
Flagstaff, AZ 86001
Phone (928) 527-4325

1340 N Rim Dr
Flagstaff, AZ 86001
Phone (928) 774-1873

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

2010 Injo Dr
Lk Havasu Cty, AZ 86403
Phone (623) 227-1000

1277 E Missouri Ave
Ste 208
Phoenix, AZ 85014
Phone (602) 266-3430

5102 W Campbell Ave
Phoenix, AZ 85031
Phone (623) 848-5000

12361 W Bola Dr
Ste 100
Surprise, AZ 85378
Phone (602) 698-7325

12361 W Bola Dr
Ste 112
Surprise, AZ 85378
Phone (602) 698-7325

14973 W Bell Rd
Ste 100
Surprise, AZ 85374
Phone (623) 815-2900

3970 W 24th St
Ste 201
Yuma, AZ 85364
Phone (623) 227-1000

20 Burton Hills Blvd
Ste 100
Nashville, TN 37215
Phone (860) 501-7908

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1120003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1740287341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD STE 2200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322139",
            "telephone_number": "602-633-3838",
            "fax_number": "602-633-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6036 N 19TH AVE STE 510",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152143",
            "telephone_number": "602-973-1113",
            "fax_number": "602-973-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "KEVIN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-29",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "28977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "25-00625",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1Z5674",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0881510",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060063387",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "550211",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.