Active NPI
Leonard Alan Berkowitz, PA-C
- Physician Assistant
- Providence, RI
National Provider Identifier
1740430800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4290
- Practice address
- 2 Richmond SQ Ste 110
Providence, RI 02906-5135 - Phone
- (401) 414-1400
- Fax
- (401) 414-1401
- NPI assigned
- Sep 25, 2008
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4290 | AZ | Primary |
Addresses
Primary practice location
2 Richmond SQ Ste 110
Providence, RI 02906-5135
Mailing address
2 Richmond SQ Ste 110
Providence, RI 02906-5135
Phone (401) 414-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2 Richmond SQ
Suite 110
Providence, RI 02906-5135
Phone (401) 414-1400
Hospital & facility affiliations
- The Miriam Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metrowest Urologic Associates PC | Past | Accepting new patients |
Interoperability endpoints
- https://app.meldrx.com/api/fhir/uc05634_metrowesturologicassoc
- https://fhir4.healow.com/fhir/r4/DHFICD/Endpoint/DHFICD
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Providence, RI
- NPI 1699401372
-
- Urology Physician
- Natick, MA
- NPI 1710497383
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1740430800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 RICHMOND SQ STE 110",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029065135",
"telephone_number": "401-414-1400",
"fax_number": "401-414-1401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 RICHMOND SQ STE 110",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029065135",
"telephone_number": "401-414-1400",
"fax_number": "401-414-1401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERKOWITZ",
"first_name": "LEONARD",
"middle_name": "ALAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-25",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "4290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.