NPIMap

Individual provider Active NPI

Paul A Berger, M.D.

  • Family Medicine Physician
  • Thornton, CO
National Provider Identifier
1861474488
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35393 Issued in CO
Practice address
4075 E 128TH Ave
Thornton, CO 80241-2201
Phone
(303) 925-4210
Fax
(303) 925-4212
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35393 CO Primary

Addresses

Primary practice location

4075 E 128TH Ave
Thornton, CO 80241-2201

Mailing address

7233 Church Ranch Blvd
Westminster, CO 80021-4094
Phone (303) 925-4940

Other identifiers 1

IdentifierTypeStateIssuer
01353937MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060109000206 CO Practitioner - Family Practice 1052334802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portercare Adventist Health SystemGroup PAC ID 0941110886, 770 clinicians

Practice addresses (Care Compare)

7233 Church Ranch Blvd
Westminster, CO 80021-4094
Phone (303) 925-4060

Hospital & facility affiliations

  • Adventhealth Avista Hospital, Louisville, CO, CCN 060103
  • Boulder Community Health Hospital, Boulder, CO, CCN 060027

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35393COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Jul 5, 2010 Accepting new patients
Portercare Adventist Health System CurrentSince Jul 5, 2010 Accepting new patients
Sunshine Wholistic Services LLC Family Medicine PastSince Jan 25, 2006 Accepting new patients
Boulder Community Health Past Accepting new patients
Boulder Community Health Past Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

805 S Broadway St
Ste 103
Boulder, CO 80305
Phone (303) 269-2560

511 Crossing Dr
Ste 202
Lafayette, CO 80026
Phone (303) 269-2875

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

7233 Church Ranch Blvd
Westminster, CO 80021
Phone (303) 925-4137

Interoperability endpoints

  • Direct secure messaging: pberger2170115@adventhealth.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 43

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861474488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7233 CHURCH RANCH BLVD",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800214094",
            "telephone_number": "303-925-4940",
            "fax_number": "303-925-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 E 128TH AVE",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802412201",
            "telephone_number": "303-925-4210",
            "fax_number": "303-925-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "35393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01353937",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.