Individual provider Active NPI

Steven L Berk, MD

  • Ophthalmology Physician
  • Worcester, MA
National Provider Identifier
1841251824
Registry record updated Nov 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
54627 Issued in MA
Practice address
27-29 Mechanic St
Worcester, MA 01608-2414
Phone
(508) 753-2159
Fax
(508) 753-5784
NPI assigned
Mar 30, 2006
Last updated
Nov 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 150108 NY
Ophthalmology Physician 207W00000X 045654 CT
Ophthalmology Physician 207W00000X 54627 MA Primary

Addresses

Primary practice location

27-29 Mechanic St
Worcester, MA 01608-2414

Mailing address

27-29 Mechanic St
Worcester, MA 01608-2414
Phone (508) 753-2159

Other identifiers 9

IdentifierTypeStateIssuer
0800299OtherEVERCARE
52833AOtherNYMEDICARE PTAN
001456541MedicaidCT
042472266OtherONE HEALTH PLAN
1059575OtherFIRST HEALTH
042472266OtherPRIVATE HEALTHCARE SYSTEM
042472266OtherRAILROAD MEDICARE
5238488OtherAETNA US HEALTHCARE
2184329OtherCIGNA HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20130607000537 MA Practitioner - Ophthalmology 3072608082 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
150108NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steven L. Berk MD PC Ophthalmology CurrentSince Apr 23, 2014 Accepting new patients

Locations

27-29 Mechanic St
#L
Worcester, MA 01608

27-29 Mechanic St
Ste 102
Worcester, MA 01608
Phone (508) 753-2159

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447459200000",
    "number": "1841251824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27-29 MECHANIC ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016082414",
            "telephone_number": "508-753-2159",
            "fax_number": "508-753-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27-29 MECHANIC ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016082414",
            "telephone_number": "508-753-2159",
            "fax_number": "508-753-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERK",
        "first_name": "STEVEN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2015-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "150108",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "045654",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "54627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "0800299",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "52833A",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001456541",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE HEALTH PLAN",
            "identifier": "042472266",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1059575",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SYSTEM",
            "identifier": "042472266",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "042472266",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "5238488",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH PLAN",
            "identifier": "2184329",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.