Individual provider Active NPI

Darrah Berck, M.D.

  • Obstetrics & Gynecology Physician
  • Columbia, MO
National Provider Identifier
1831548254
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
94-08988 Issued in KS
Practice address
1601 E Broadway Ste 100
Columbia, MO 65201-5821
Phone
(573) 443-8796
Fax
(573) 499-0373
NPI assigned
Jun 7, 2016
Last updated
Mar 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2020023402 MO
Obstetrics & Gynecology Physician 207V00000X 94-08988 KS Primary

Addresses

Primary practice location

1601 E Broadway Ste 100
Columbia, MO 65201-5821

Mailing address

1601 E Broadway Ste 100
Columbia, MO 65201-5821
Phone (573) 443-8796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20200729003301 MO Practitioner - Obstetrics/Gynecology 2860786514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Missouri, Columbia School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women's Health Associates, Inc.Group PAC ID 9739078916, 11 clinicians

Practice addresses (Care Compare)

1601 E Broadway
Suite 100
Columbia, MO 65201-5821
Phone (573) 443-8796

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94-08988KSMDObstetrics & Gynecology Physician
2020023402MOMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Health Associates, Inc. Obstetrics & Gynecology CurrentSince Jul 27, 2020 Accepting new patients
University of Kansas School of Medicine Wichita Medical Practice Assoc PastSince Jan 1, 1999 Accepting new patients
CH Allied Services, Inc. Past Accepting new patients

Locations

1601 E Broadway
Ste 100
Columbia, MO 65201
Phone (573) 443-8796

Interoperability endpoints

  • Direct secure messaging: darrah.berck.1@32182.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1831548254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E BROADWAY STE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015821",
            "telephone_number": "573-443-8796",
            "fax_number": "573-499-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E BROADWAY STE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015821",
            "telephone_number": "573-443-8796",
            "fax_number": "573-499-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERCK",
        "first_name": "DARRAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2020023402",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "94-08988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.