Individual provider Active NPI

Karen P Beckerman, MD

  • Maternal & Fetal Medicine Physician
  • Bronx, NY
National Provider Identifier
1750439014
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
C43045 Issued in CA
Practice address
1825 Eastchester Rd
Weiler 7N
Bronx, NY 10461-2301
Phone
(718) 904-2794
Fax
(718) 904-2799
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X C43045 CA Primary
Maternal & Fetal Medicine Physician 207VM0101X 151869 NY
Obstetrics & Gynecology Physician 207V00000X C43045 CA

Addresses

Primary practice location

1825 Eastchester Rd
Weiler 7N
Bronx, NY 10461-2301

Mailing address

2920 Telegraph Ave
Ste 200
Berkeley, CA 94705-2031
Phone (212) 741-0032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070321000620 NY Practitioner - Obstetrics/Gynecology 5991774218 Reassigns benefits to 1 organization
I20200326002180 CA Practitioner - Obstetrics/Gynecology 5991774218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

440 Seaview Ave
Staten Island, NY 10305-3401
Phone (718) 226-6791

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C43045CAMDMaternal & Fetal Medicine Physician
151869NYMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Health Medical Foundation CurrentSince Jan 21, 2020 Accepting new patients
North Shore-Lij Medical PC Obstetrics & Gynecology CurrentSince Aug 15, 2021 Accepting new patients
North Shore - Lij Medical PC CurrentSince Aug 15, 2021 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

2920 Telegraph Ave
Ste 200
Berkeley, CA 94705
Phone (510) 444-0790

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

111 E 210th St
Bronx, NY 10467

300 Community Dr
Plandome, NY 11030

440 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-6550

101 Tyrellan Ave
Staten Island, NY 10309
Phone (718) 281-3645

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

Networks

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

Interoperability endpoints

  • Direct secure messaging: kbeckerman67245@northwell.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1750439014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 TELEGRAPH AVE",
            "address_2": "STE 200",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052031",
            "telephone_number": "212-741-0032",
            "fax_number": "212-741-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 EASTCHESTER RD",
            "address_2": "WEILER 7N",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612301",
            "telephone_number": "718-904-2794",
            "fax_number": "718-904-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKERMAN",
        "first_name": "KAREN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "C43045",
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NY",
            "license": "151869",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C43045",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.