Active NPI
Steven L Berk, MD
- Ophthalmology Physician
- Worcester, MA
National Provider Identifier
1841251824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 54627
- 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, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0800299 | Other | EVERCARE | |
| 52833A | Other | NY | MEDICARE PTAN |
| 001456541 | Medicaid | CT | |
| 042472266 | Other | ONE HEALTH PLAN | |
| 1059575 | Other | FIRST HEALTH | |
| 042472266 | Other | PRIVATE HEALTHCARE SYSTEM | |
| 042472266 | Other | RAILROAD MEDICARE | |
| 5238488 | Other | AETNA US HEALTHCARE | |
| 2184329 | Other | CIGNA 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150108 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven L. Berk MD PC | Ophthalmology | Current | 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.
-
- Ophthalmology Physician
- Worcester, MA
- NPI 1003226168
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.