Individual provider Active NPI

Alexandra Berger, M.D.

  • Internal Medicine Physician
  • Jupiter, FL
National Provider Identifier
1861687824
Registry record updated Apr 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME124391 Issued in FL
Practice address
278 Sussex Cir
Jupiter, FL 33458-8118
Phone
(703) 888-7709
Fax
(561) 295-5088
NPI assigned
Sep 12, 2007
Last updated
Apr 16, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 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 ME124391 FL Primary

Addresses

Primary practice location

278 Sussex Cir
Jupiter, FL 33458-8118

Mailing address

278 Sussex Cir
Jupiter, FL 33458-8118
Phone (703) 888-7709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20151014002752 FL Practitioner - Internal Medicine 5890004857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1701 SE Hillmoor Dr
Port Saint Lucie, FL 34952-7552
Phone (772) 335-0060

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME124391FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandra Berger, MD-P.a. Internal Medicine CurrentSince Mar 1, 2018 Accepting new patients
Dean W. Mammales DC LLC PastSince Jan 10, 2017 Accepting new patients
Internal Medicine Group Inc. Past Accepting new patients

Locations

1701 SE Hillmoor Dr
Ste 5
Port St Lucie, FL 34952
Phone (772) 335-0060

Organizations & group practices 3

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 4

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": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492300800000",
    "number": "1861687824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 SUSSEX CIR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588118",
            "telephone_number": "703-888-7709",
            "fax_number": "561-295-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 SUSSEX CIR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588118",
            "telephone_number": "703-888-7709",
            "fax_number": "561-295-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "ALEXANDRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2017-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME124391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.