Active NPI
Rezene Berhane, M.D.
- Internal Medicine Physician
- Northfolk, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 79294
- 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, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3154246 | Medicaid | MA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walpole Medical Center, PC | Internal Medicine | Current | 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 | Past | 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
- 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.
-
- Internal Medicine Physician
- Walpole, MA
- NPI 1174052351
-
- Specialist
- Brighton, MA
- NPI 1174513204
-
- Internal Medicine Physician
- Needham, MA
- NPI 1437196359
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Internal Medicine Physician
- Walpole, MA
- NPI 1720324528
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Taunton, MA
- NPI 1609603877
-
- General Acute Care Hospital
- Attleboro, MA
- NPI 1730106162
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.