Individual provider Active NPI

Peter B Berkey, M.D.

  • Infectious Disease Physician
  • Fort Lauderdale, FL
National Provider Identifier
1881761245
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME132416 Issued in FL
Practice address
315 SE 14TH St
Fort Lauderdale, FL 33316-1929
Phone
(954) 701-6920
Fax
(855) 643-6201
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME132416 FL Primary

Addresses

Primary practice location

315 SE 14TH St
Fort Lauderdale, FL 33316-1929

Mailing address

PO Box 100 Dept#394
Memphis, TN 38148-0001
Phone (941) 300-4440

Other practice location 1

1224 Del Prado Blvd S Ste A
Cape Coral, FL 33990-3670
Phone (239) 945-9401

Other practice location 2

14243 Tamiami Trl
North Port, FL 34287-2215
Phone (941) 888-2144

Other practice location 3

4101 NW 3rd Ct Ste 9
Plantation, FL 33317-2830
Phone (954) 701-6911

Other identifiers 8

IdentifierTypeStateIssuer
3401982OtherUNITED HEALTHCARE
WS365OtherOXFORD
01091143MedicaidNY
09727POtherHIP
0D1595OtherHEALTHNET
440003595OtherRR MEDICARE
0000924OtherGHI
0915351OtherAETNA AND US HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20101109000585 NY Practitioner - Infectious DiseasePractitioner - Internal Medicine 6406922335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90.03
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME132416FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Westchester Infectious Disease Group, PLLC Internal Medicine CurrentSince Jun 14, 1996 Accepting new patients

Locations

970 N Broadway
Ste 212
Yonkers, NY 10701
Phone (914) 376-1543

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1881761245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100 DEPT#394",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "941-300-4440",
            "fax_number": "941-404-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 SE 14TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161929",
            "telephone_number": "954-701-6920",
            "fax_number": "855-643-6201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1224 Del Prado Blvd S Ste A",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339903670",
            "country_code": "US",
            "telephone_number": "239-945-9401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14243 Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "North Port",
            "state": "FL",
            "postal_code": "342872215",
            "country_code": "US",
            "telephone_number": "941-888-2144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4101 NW 3rd Ct Ste 9",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333172830",
            "country_code": "US",
            "telephone_number": "954-701-6911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERKEY",
        "first_name": "PETER",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME132416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3401982",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "WS365",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01091143",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "09727P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0D1595",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "440003595",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0000924",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA AND US HEALTHCARE",
            "identifier": "0915351",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.