Individual provider Active NPI

Rezene Berhane, M.D.

  • Internal Medicine Physician
  • Northfolk, MA
National Provider Identifier
1851316137
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
79294 Issued in MA
Practice address
31 Pine Street
Suite 300
Northfolk, MA 02056
Phone
(508) 623-3700
Fax
(508) 623-3701
NPI assigned
Jul 13, 2006
Last updated
Jan 5, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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 79294 MA Primary

Addresses

Primary practice location

31 Pine Street
Suite 300
Northfolk, MA 02056

Mailing address

31 Pine Street
Suite 300
Northfolk, MA 02056
Phone (508) 623-3700

Other identifiers 1

IdentifierTypeStateIssuer
3154246MedicaidMA

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
I20040706001079 MA Practitioner - Internal MedicinePractitioner - Addiction Medicine 4385621598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

841 Main St
Walpole, MA 02081-2997
Phone (508) 580-3300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Walpole Medical Center, PC Internal Medicine CurrentSince Jun 1, 2017 Accepting new patients
Caritas Medical Group, Inc. Current Accepting new patients
Steward Medical Group, Inc Past Accepting new patients
Medical Care of Boston Management Corporation Internal Medicine Past Accepting new patients
Walpole Medical Associates, PC Internal Medicine PastSince Jan 1, 2013 Accepting new patients

Locations

11 Nevins St
Brighton, MA 02135
Phone (617) 562-2782

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

11 Nevins St
Ste 401
Brighton, MA 02135
Phone (617) 682-7788

2100 Dorchester Ave
Dorchestr Ctr, MA 02124
Phone (617) 506-2222

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

1428 Main St
Ste 7
Walpole, MA 02081
Phone (508) 668-4007

841 Main St
Ste 3
Walpole, MA 02081
Phone (508) 580-3300

40 Spring St
Watertown, MA 02472
Phone (617) 923-8433

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHJABD/Endpoint/JHJABD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1851316137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PINE STREET",
            "address_2": "SUITE 300",
            "city": "NORTHFOLK",
            "state": "MA",
            "postal_code": "02056",
            "telephone_number": "508-623-3700",
            "fax_number": "508-623-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 PINE STREET",
            "address_2": "SUITE 300",
            "city": "NORTHFOLK",
            "state": "MA",
            "postal_code": "02056",
            "telephone_number": "508-623-3700",
            "fax_number": "508-623-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERHANE",
        "first_name": "REZENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "79294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3154246",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.