Individual provider Active NPI

Andrew Mark Berkowitz, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1952454928
Registry record updated Aug 8, 2014
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Mar 30, 2020.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD036462E Issued in PA
Practice address
1718 Welsh Rd
Philadelphia, PA 19115-4213
Phone
(215) 947-6143
Fax
(215) 947-6274
NPI assigned
Jan 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

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 MD036462E PA Primary

Addresses

Primary practice location

1718 Welsh Rd
Philadelphia, PA 19115-4213

Mailing address

725 Lisa Cir
Huntingdon Valley, PA 19006-2223
Phone (215) 947-6143

Other identifiers 3

IdentifierTypeStateIssuer
0081708000OtherPAKEYSTONE HEALTH PLAN
0011215100001MedicaidPA
0081708000OtherPABLUE SHIELD AND HIGHMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
7622 Medical Center Dba 1900 S.G. Associates Past Accepting new patients
Bucks Philadelphia Medical Care GRP Internal Medicine Past Accepting new patients
Bucks Philadelphia Medical Care Group Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407456000000",
    "number": "1952454928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 LISA CIR",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190062223",
            "telephone_number": "215-947-6143",
            "fax_number": "215-947-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 WELSH RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154213",
            "telephone_number": "215-947-6143",
            "fax_number": "215-947-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKOWITZ",
        "first_name": "ANDREW",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-20",
        "last_updated": "2014-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD036462E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN",
            "identifier": "0081708000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011215100001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD AND HIGHMARK",
            "identifier": "0081708000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.