Active NPI
Kevin M Berman, MD
- Cardiovascular Disease Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 28977
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25-00625 | Other | AZ | UNITED HEALTHCARE |
| 1Z5674 | Other | AZ | HEALTHNET |
| AZ0881510 | Other | AZ | BLUE CROSS BLUE SHIELD |
| 060063387 | Other | AZ | RAILROAD MEDICARE |
| 550211 | Medicaid | AZ |
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
Enrollment records 1
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
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
- Flagstaff Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 20.42 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 68.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Development of West Phoenix Inc | Cardiovascular Disease | Current | Accepting new patients |
| National Cardiovascular Associates, LLC | Cardiovascular Disease | Current | Accepting new patients |
| VHS of Arrowhead Inc | Cardiovascular Disease | Past | Accepting new patients |
| Privia Medical Group Arizona, LLC | Family Medicine | Past | 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.
-
- Cardiovascular Disease Physician
- Surprise, AZ
- NPI 1457989576
-
- Cardiovascular Disease Physician
- Goodyear, AZ
- NPI 1013100692
-
- Medical Specialty Clinic/Center
- Phoenix, AZ
- NPI 1023073525
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1760441141
-
- Cardiovascular Disease Physician
- Glendale, AZ
- NPI 1326231903
-
- Cardiovascular Disease Physician
- Kettering, OH
- NPI 1720111487
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Flagstaff, AZ
- NPI 1649370875
-
- General Acute Care Hospital
- Flagstaff, AZ
- NPI 1780635078
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
-
- General Acute Care Hospital
- Sedona, AZ
- NPI 1538608716
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.