Active NPI
Daniel Berg, M.D.
- MOHS-Micrographic Surgery Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- MD00035013
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760549950 | Medicaid | WA | |
| 225990 | Other | INTERNAL ID-MOTOR VEHICLE ID | |
| 0230738 | Other | WA | L&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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 51 |
| Removal of skin lesions | 1-10 |
| Removal of skin cancer | 396 |
| Skin biopsy | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00035013 | WA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Polyclinic | Current | Accepting new patients | |
| The Polyclinic PLLC | Current | 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
- https://api.platform.athenahealth.com/3889/brand/1/csg/1/fhir/r4
- 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.
-
- Ambulatory Surgical Clinic/Center
- Seattle, WA
- NPI 1073944039
-
- Durable Medical Equipment & Medical Supplies
- Tacoma, WA
- NPI 1831411487
-
- Durable Medical Equipment & Medical Supplies
- Seattle, WA
- NPI 1346620200
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.