Eric J Berenson, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

054791 Issued in GA

Practice address

2701 N Decatur Rd
Decatur, GA 30033-5918

Phone

(404) 564-5400

Fax

(404) 564-5403

NPI assigned

Dec 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, FL2 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

Specialty

Diagnostic Radiology

Education

Medical College of Georgia School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Radiology Partners LTDGroup PAC ID 2860886918, 26 clinicians

Tallahassee Memorial Healthcare IncGroup PAC ID 6103724778, 498 clinicians

Radiology Associates of Tallahassee PAGroup PAC ID 6709895675, 25 clinicians

Tallahassee Diag Imaging Ctr LTDGroup PAC ID 9032193222, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tallahassee Memorial Healthcare Hospital, Tallahassee, FL, CCN 100135

Merit-based Incentive Payment System (MIPS)

Final score

91.5 of 100Reported as group

Quality

90

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

96.84 of 100Reported as group

Quality

95

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

15 of 100Reported as group

Quality

0

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Radiology Associates of Tallahassee PA

  • Diagnostic Radiology Physician
  • Tallahassee, FL
  • NPI 1003866773
  Medicare reassignment Care Compare group NPD
• Southeast Radiology Partners LTD

  • Diagnostic Radiology Physician
  • Tallahassee, FL
  • NPI 1932799814
  Medicare reassignment Care Compare group NPD
• Tallahassee Diag Imaging Ctr LTD

  • Diagnostic Radiology Physician
  • Tallahassee, FL
  • NPI 1639129521
  Medicare reassignment Care Compare group NPD
• Tallahassee Memorial Healthcare Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1437177664
  Medicare reassignment Care Compare group NPD
• Tallahassee Memorial Healthcare Inc

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1366293102
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tallahassee Memorial Healthcare Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1437177664
  Care Compare affiliation

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1780868166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1316",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462061316",
            "telephone_number": "877-440-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N DECATUR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335918",
            "telephone_number": "404-564-5400",
            "fax_number": "404-564-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERENSON",
        "first_name": "ERIC",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-21",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "054791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419492424A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Benton, MD
• Paulette Brooks Benton, APRN,BC
• Sharon Christina Benton, RN, NNP-BC
• Steven Lamar Benton, AU.D.
• Susan Berberian, LCSW
• Hannah Elizabeth Bergbower
• Sharon Horesh Bergquist, MD
• Jennifer Berman
• Andrew William Bernal, MLT
• Abigail A.O Bernard, APRN

• Diagnostic Radiology Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.

Verify at the official NPI Registry.