Individual provider Active NPI

Timothy Berka, MD

  • Diagnostic Radiology Physician
  • Midland, MI
National Provider Identifier
1912924903
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
TB406127 Issued in MI
Practice address
4000 Wellness Dr
Midland, MI 48670-0001
Phone
(989) 839-3408
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X TB406127 MI Primary

Addresses

Primary practice location

4000 Wellness Dr
Midland, MI 48670-0001

Mailing address

4000 Wellness Dr
Midland, MI 48670-0001
Phone (989) 839-3408

Other identifiers 2

IdentifierTypeStateIssuer
300E676040OtherMIBLUE CROSS
1912924903MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040308000320 MI Practitioner - Diagnostic Radiology 0143126615 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.4 of 100Reported as group
Quality
66.97
Promoting interoperability
100
Improvement activities
40
Cost
75.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TB406127MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Medical Center Current Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince Feb 8, 2023 Accepting new patients
Hurley Medical Center CurrentSince May 1, 2024 Accepting new patients
Midland Radiology Associates PC Diagnostic Radiology CurrentSince Jun 1, 2002 Accepting new patients
Hurley Medical Center Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Mymichigan Medical Center Gladwin Past Accepting new patients
Midland Radiology Associates PC Diagnostic Radiology Past Accepting new patients
Mymichigan Medical Center Midland Past Accepting new patients

Locations

710 S Lincoln Rd
Escanaba, MI 49829
Phone (906) 362-7546

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

850 W Baraga Ave
Marquette, MI 49855
Phone (906) 225-3595

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334188800000",
    "number": "1912924903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486700001",
            "telephone_number": "989-839-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486700001",
            "telephone_number": "989-839-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKA",
        "first_name": "TIMOTHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2012-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "TB406127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "300E676040",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912924903",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.