Nathan B Beraha

M.D. | Pediatric Adolescent Medicine | Male

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Complete Profile:

Nathan B Beraha basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Adolescent Medicine
Provider Name :	Nathan B Beraha
Credential :	M.D.
Gender :	Male

Business Address:

Nathan B Beraha address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1 Commerce St, Pediatrics Lincoln, RI, 02865 United States
Phone Number :	401-793-8484
Fax Number :	401-793-8481

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1700882529
NPI Entity Type :	Individual
First Enrolment Date :	27 Jun, 2005
Last Updated On :	07 Dec, 2020

Medicare Participation:

Nathan B Beraha participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0547232498
Medicare Enrollment ID :	I20040811000027
Primary Specialty :	Pediatric Medicine
Medical School :	Northwestern University Feinberg Medical School
Graduation Year :	1979
Accepts Medicare?	Yes. Nathan B Beraha accepts medicare insurance.

Group Practice Association:

Nathan B Beraha is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Nathan B Beraha is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Anchor Medical Associates	7911979869	26	1 Commerce St Suite 100 Lincoln, RI - 028651186 Ph: 4017938484	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nathan B Beraha are as mentioned. Primary taxonomy code for Nathan B Beraha, M.D. is 2080A0000X (Pediatrics Adolescent Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	No	MD06656	RI
2080A0000X	Pediatrics Adolescent Medicine	Yes	MD06656	RI
2080A0000X	Pediatrics Adolescent Medicine	No	40994-020	WI
2080A0000X	Pediatrics Adolescent Medicine	No	204275	MA
2080P0202X	Pediatrics Pediatric Cardiology	No	204275	MA

Legacy Identifiers:

Other legacy medical identifiers of Nathan B Beraha such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
2005484	MEDICAID	MA
7002149	MEDICAID	RI

Other Practice Locations:

Practice Address	City, State	Phone Number
152 EMORY ST STE 300, ATTLEBORO, MA, 02703-2461 United States	ATTLEBORO, MA	401-793-8484

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1 Commerce St, Pediatrics Lincoln, RI, 02865-1168 United States
Phone Number :	401-793-8484
Fax Number :	401-793-8481

Business Location:

Patients can refer following map for directions to Nathan B Beraha practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.