Nathan B Beraha
M.D. | Pediatric Adolescent Medicine | Male
Nathan B Beraha, M.D. is a Lincoln, Rhode Island based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Nathan B Beraha is
1 Commerce St, Pediatrics, Lincoln, Rhode Island - 02865. He can be contacted on phone at
401-793-8484 and fax number 401-793-8481.
Nathan B Beraha is a sole proprietor of his business.
NPI number (Unique professional ID) for Nathan B Beraha is
1700882529 which was assigned by NPPES on 27 Jun, 2005 and it was last updated on 07 Dec, 2020.
Nathan B Beraha license number is
MD06656 for Pediatrics Adolescent Medicine (2080A0000X) in Rhode Island.
Nathan B Beraha specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Nathan B Beraha basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics Adolescent Medicine |
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Provider Name : | Nathan B Beraha |
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Credential : | M.D. |
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Gender : | Male |
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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 |
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Phone Number : | 401-793-8484 |
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Fax Number : | 401-793-8481 |
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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 |
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NPI Entity Type : | Individual |
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First Enrolment Date : | 27 Jun, 2005 |
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Last Updated On : | 07 Dec, 2020 |
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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 |
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Medicare Enrollment ID : | I20040811000027 |
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Primary Specialty : | Pediatric Medicine |
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Medical School : | Northwestern University Feinberg Medical School |
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Graduation Year : | 1979 |
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Accepts Medicare? | Yes. Nathan B Beraha accepts medicare insurance. |
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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 |
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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 |
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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 |
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2005484 | MEDICAID | MA | |
7002149 | MEDICAID | RI | |
Other Practice Locations:
Practice Address | City, State | Phone Number |
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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).
Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
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DIRECT (Direct Messaging Address) | nathan.beraha.1@10.direct.athenahealth.com
| No affiliation |
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| 1 COMMERCE ST, PEDIATRICS LINCOLN, RI, 02865 United States |
DIRECT (Direct Messaging Address) | nathan.beraha.1@10.direct.athenahealth.com
| No affiliation |
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| 152 EMORY ST STE 300, ATTLEBORO, MA, 02703-2461 United States |
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 |
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Phone Number : | 401-793-8484 |
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Fax Number : | 401-793-8481 |
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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.