Individual provider Active NPI

Michael K Berry, M.D.

  • Emergency Medicine Physician
  • El Centro, CA
National Provider Identifier
1861494569
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G72558 Issued in CA
Practice address
1415 Ross Ave
El Centro, CA 92243-4306
Phone
(760) 339-7100
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G72558 CA Primary

Addresses

Primary practice location

1415 Ross Ave
El Centro, CA 92243-4306

Mailing address

PO Box 12439
Westminster, CA 92685-2439
Phone (562) 468-0227

Other identifiers 1

IdentifierTypeStateIssuer
00G725580MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040608000625 CA Practitioner - Emergency MedicinePractitioner - Family Practice 4789666439 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
University of Washington School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - CaliforniaGroup PAC ID 6103739131, 1,278 clinicians

Practice addresses (Care Compare)

1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone (916) 781-1000

Hospital & facility affiliations

  • Memorial Medical Center Hospital, Modesto, CA, CCN 050557

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Ana Physicians Group, PC Emergency Medicine CurrentSince Jan 1, 2015 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Apr 1, 2021 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Apr 1, 2011 Accepting new patients
Apex Emergency Medical Group, Inc. Emergency Medicine CurrentSince Sep 1, 2018 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
San Francisco Physicians International Medical Group, Inc Emergency Medicine CurrentSince Mar 15, 2015 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Apr 1, 2011 Accepting new patients
Alpine Emergency Physicians Medical Group, Inc Emergency Medicine Past Accepting new patients
Joshua Tree Emergency Physicians Medical Group, Inc Emergency Medicine Past Accepting new patients
Advanced TMS Clinic Inc PastSince May 24, 2020 Accepting new patients
Pacific Health Systems, L.P. PastSince Oct 1, 2005 Accepting new patients
Michael K Berry MD a Professional Corporation Emergency Medicine PastSince Dec 1, 2003 Accepting new patients

Locations

1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

520 W I St
Los Banos, CA 93635
Phone (209) 724-0316

1700 Coffee Rd
Modesto, CA 95355
Phone (209) 526-4500

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000

2801 L St
Sacramento, CA 95816
Phone (916) 454-2222

6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273

2701 S Bristol St
Santa Ana, CA 92704
Phone (714) 636-0342

3116 W March Ln
Ste 200
Stockton, CA 95219
Phone (510) 537-1234

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 12

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 1

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234224000000",
    "number": "1861494569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12439",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926852439",
            "telephone_number": "562-468-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 ROSS AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434306",
            "telephone_number": "760-339-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2009-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G72558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G725580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

Verify at the official NPI Registry.