Individual provider Active NPI

Andrew Berg, D.O.

  • Internal Medicine Physician
  • Orchard Park, NY
National Provider Identifier
1811637101
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
338037 Issued in NY
Practice address
5959 Big Tree Rd Ste 102
Orchard Park, NY 14127-2291
Phone
(716) 422-5677
NPI assigned
Apr 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 338037 NY Primary

Addresses

Primary practice location

5959 Big Tree Rd Ste 102
Orchard Park, NY 14127-2291

Mailing address

726 Exchange St Ste 710
Buffalo, NY 14210-1464
Phone (716) 852-4772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250710000017 NY Practitioner - Internal Medicine 1951815042 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie Col of Osteo Med at Seton Hill Univ, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maine Medical Consultants PCGroup PAC ID 7810229259, 46 clinicians
General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

Buffalo, NY 14209
Phone (207) 518-8869

5959 Big Tree Rd
Suite 102
Orchard Park, NY 14127-2291
Phone (716) 882-0035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
338037NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC Internal Medicine CurrentSince May 25, 2025 Accepting new patients
General Physician, PC CurrentSince Sep 1, 2025 Accepting new patients
Kaleida Health PastSince May 25, 2025 Accepting new patients
Academic Medicine Services, Inc. Internal Medicine PastSince Apr 1, 2022 Accepting new patients

Locations

1014 Delaware Ave
Buffalo, NY 14209
Phone (716) 361-8616

726 Exchange St
Ste 710
Buffalo, NY 14210
Phone (716) 343-3016

726 Exchange St
Ste 516
Buffalo, NY 14210

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

5959 Big Tree Rd
Ste 102
Orchard Park, NY 14127
Phone (716) 422-5677

Interoperability endpoints

  • Direct secure messaging: aberg@gppc.medentdirect.com

Organizations & group practices 5

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": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1811637101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 EXCHANGE ST STE 710",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142101464",
            "telephone_number": "716-852-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 BIG TREE RD STE 102",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272291",
            "telephone_number": "716-422-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-01",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "338037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.