Individual provider Active NPI

Daniel Berg, M.D.

  • MOHS-Micrographic Surgery Physician
  • Seattle, WA
National Provider Identifier
1760549950
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
MD00035013 Issued in WA
Practice address
1229 Madison Street
Suite 1090
Seattle, WA 98104
Phone
(206) 215-3300
Fax
(206) 215-3301
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X MD00035013 WA Primary
Dermatology Physician 207N00000X MD00035013 WA

Addresses

Primary practice location

1229 Madison Street
Suite 1090
Seattle, WA 98104

Mailing address

7600 Evergreen Way
Everett, WA 98203-6421
Phone (206) 860-5414

Other identifiers 3

IdentifierTypeStateIssuer
1760549950MedicaidWA
225990OtherINTERNAL ID-MOTOR VEHICLE ID
0230738OtherWAL&I

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20100302000819 WA Practitioner - Dermatology 3971648908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Polyclinic PLLCGroup PAC ID 2163328196, 364 clinicians

Practice addresses (Care Compare)

1145 Broadway
Seattle, WA 98122-4201
Phone (206) 329-1760

1229 Madison St
Suite 1660
Seattle, WA 98104-3586
Phone (206) 860-5582

904 7TH Ave
Seattle, WA 98104-1132
Phone (206) 309-1760

9709 3Rd Ave NE
Optum Northgate Plaza Urgent Care
Seattle, WA 98104-3586
Phone (206) 401-3191

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision51
Removal of skin lesions1-10
Removal of skin cancer396
Skin biopsy18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00035013WAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Polyclinic CurrentSince Feb 1, 2017 Accepting new patients
The Polyclinic PLLC CurrentSince Feb 1, 2017 Accepting new patients
The Polyclinic PLLC Dermatology Current Accepting new patients
The Polyclinic PLLC Past Accepting new patients

Locations

1145 Broadway
Seattle, WA 98122

1229 Madison St
Ste 1090
Seattle, WA 98104
Phone (206) 215-3300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3889/brand/1/csg/1/fhir/r4
  • Direct secure messaging: dberg20899@direct.tecmc.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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1760549950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 EVERGREEN WAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982036421",
            "telephone_number": "206-860-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 MADISON STREET",
            "address_2": "SUITE 1090",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98104",
            "telephone_number": "206-215-3300",
            "fax_number": "206-215-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WA",
            "license": "MD00035013",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00035013",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760549950",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL ID-MOTOR VEHICLE ID",
            "identifier": "225990",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0230738",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.