Individual provider Active NPI

Jeffrey M Berman, M/D/

  • Gastroenterology Physician
  • Rydal, PA
National Provider Identifier
1861433922
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD062570L Issued in PA
Practice address
1095 Rydal Rd
Suite 100
Rydal, PA 19046-1711
Phone
(267) 620-1100
Fax
(215) 572-1279
NPI assigned
Jun 9, 2006
Last updated
Jan 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD062570L PA Primary

Addresses

Primary practice location

1095 Rydal Rd
Suite 100
Rydal, PA 19046-1711

Mailing address

1095 Rydal Rd
Suite 100
Rydal, PA 19046-1711
Phone (267) 620-1100

Other identifiers 15

IdentifierTypeStateIssuer
231937219OtherPADEVON
231937219OtherPAFIRST HEALTH
P2784785OtherPAOXFORD
0140618000OtherPAKEYSTONE EAST
1143253OtherPAKEYSTONE MERCY
231937219OtherPATRICARE
5234726OtherPAAETNA
000451204OtherPAAMERIHEALTH
000451204OtherPAPERSONAL CHOICE
100012734OtherPAPALMETTO GBA
017720580003MedicaidPA
000451204OtherPWHIGHMARK BLUE SHIELD
14617OtherPAHEALTH PARTNERS
231937219OtherPAMULTIPLAN
1167811002OtherPACIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100824000125 PA Practitioner - Gastroenterology 7517000201 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Pennsylvania State University College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amh Medical Staff Service FundGroup PAC ID 9830003813, 41 clinicians

Practice addresses (Care Compare)

1095 Rydal Rd
Suite 100
Rydal, PA 19046-1711
Phone (267) 620-1100

1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-2222

1600 Horizon Dr
Suite 105
Chalfont, PA 18914-4100
Phone (267) 620-1136

2301 S Broad St
Philadelphia, PA 19148-3542

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy174
Upper gastrointestinal (GI) endoscopy for acid reflux152

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Associates in Healthcare, Inc Gastroenterology CurrentSince Nov 1, 2017 Accepting new patients
Amh Medical Staff Service Fund CurrentSince Nov 29, 2011 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Nov 1, 2017 Accepting new patients
Jefferson University Physicians Gastroenterology Past Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175

1095 Rydal Rd
Ste 100
Rydal, PA 19046
Phone (267) 620-1100

2510 Maryland Rd
Ste 200
Willow Grove, PA 19090

Organizations & group practices 4

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1861433922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 RYDAL RD",
            "address_2": "SUITE 100",
            "city": "RYDAL",
            "state": "PA",
            "postal_code": "190461711",
            "telephone_number": "267-620-1100",
            "fax_number": "215-572-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 RYDAL RD",
            "address_2": "SUITE 100",
            "city": "RYDAL",
            "state": "PA",
            "postal_code": "190461711",
            "telephone_number": "267-620-1100",
            "fax_number": "215-572-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M/D/",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD062570L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVON",
            "identifier": "231937219",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "231937219",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2784785",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE EAST",
            "identifier": "0140618000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1143253",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "231937219",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5234726",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "000451204",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "000451204",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "100012734",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017720580003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "000451204",
            "state": "PW"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "14617",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "231937219",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1167811002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rydal, PA

Sources for this page

Verify at the official NPI Registry.