Individual provider Active NPI

Joseph Randall Berg, D.O.

  • Family Medicine Physician
  • Des Moines, IA
National Provider Identifier
1922360346
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04585 Issued in IA
Practice address
1801 Hickman Rd
Des Moines, IA 50314-1505
Phone
(515) 282-2200
Fax
(515) 282-2332
NPI assigned
Jun 12, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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 04585 IA Primary

Addresses

Primary practice location

1801 Hickman Rd
Des Moines, IA 50314-1505

Mailing address

800 Compassion Way
Dodgeville, WI 53533-1956
Phone (608) 930-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20150930002594 WI Practitioner - Family Practice 6305077462 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upland Hills Health IncGroup PAC ID 3072415553, 97 clinicians

Practice addresses (Care Compare)

103 Quail Ridge Dr
Barneveld, WI 53507-9408
Phone (608) 924-1088

1204 Joseph St
Dodgeville, WI 53533-9670
Phone (608) 935-2308

1809 Springdale St
Mount Horeb, WI 53572-2480
Phone (608) 437-8033

1883 Springdale St
Mount Horeb, WI 53572-2477
Phone (608) 437-8040

551 Main St
Highland, WI 53543-9779
Phone (608) 929-4518

800 Compassion Way
Dodgeville, WI 53533-1956
Phone (609) 930-8000

Hospital & facility affiliations

  • SSM Health at Home Home Health-Wisconsin Home health agency, Madison, WI, CCN 527184
  • Upland Hills Hospice Hospice, Dodgeville, WI, CCN 521549
  • Agrace Hospicecare Hospice, Madison, WI, CCN 521505
  • Upland Hills Health Hospital, Dodgeville, WI, CCN 521352
  • University of Wi Hospitals & Clinics Authority Hospital, Madison, WI, CCN 520098
  • SSM Health St Mary'S Hospital - Madison Hospital, Madison, WI, CCN 520083

Merit-based Incentive Payment System (MIPS)

Final score
91.64 of 100Reported as group
Quality
97.3
Promoting interoperability
100
Improvement activities
40
Cost
74.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04585IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Upland Hills Health, Inc CurrentSince May 1, 2015 Accepting new patients
Upland Hills Health Inc Current Accepting new patients
Upland Hills Health Inc Current Accepting new patients
Upland Hills Health, Inc. Family Medicine CurrentSince May 1, 2015 Accepting new patients
Upland Hills Health, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Upland Hills Health, Inc. Past Accepting new patients

Locations

103 Quail Ridge Dr
Barneveld, WI 53507
Phone (608) 924-1088

800 Compassion Way
Dodgeville, WI 53533
Phone (608) 930-7200

1204 Joseph St
Dodgeville, WI 53533
Phone (608) 574-5044

1050 Branger Dr
Ste 1
Mineral Point, WI 53565

1809 Springdale St
Mount Horeb, WI 53572
Phone (608) 437-8033

1883 Springdale St
Mount Horeb, WI 53572
Phone (608) 437-8040

1809 Springdale St
Ste 101
Mount Horeb, WI 53572

Interoperability endpoints

  • Direct secure messaging: jberg258663@direct-ehr-ssmhc.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 10

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": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1922360346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COMPASSION WAY",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331956",
            "telephone_number": "608-930-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 HICKMAN RD",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503141505",
            "telephone_number": "515-282-2200",
            "fax_number": "515-282-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "JOSEPH",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "04585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.