MARK S BERENSON M.D.
NPI 1093722126
Family Medicine in Oakland, CA
About Mark S Berenson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK S BERENSON M.D. (NPI 1093722126) is an individual family medicine provider in Oakland, California, licensed in California (A88385) and active in the NPI registry since August 2006. He has opted out of Medicare through August 1, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mark S Berenson M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 1, 2014 through August 1, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mark Berenson's NPI number?
The NPI number for Mark Berenson is 1093722126. It was assigned to this individual provider in the NPPES registry on August 2, 2006.
Where is Mark Berenson located?
Mark Berenson practices at 2107 Livingston St Suite A, Oakland, CA 94606. The listed phone number is (510) 436-9001.
What is Mark Berenson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mark Berenson enrolled in Medicare?
No. Mark Berenson has opted out of Medicare through August 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Mark Berenson was last updated on January 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mark S Berenson, M.D. · NPI 1093722126
Family Medicine physician in Oakland, California. Individual provider, active in the CMS NPPES registry since August 2, 2006.
## Identity
- **NPI:** 1093722126 (Entity type: Individual)
- **Enumerated:** August 2, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A88385 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2107 LIVINGSTON ST, SUITE A, Oakland, CA 94606-5218
- **Phone:** (510) 436-9001
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through August 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** January 23, 2009
- **Other identifiers:** Medicare PIN BD084Z (CA); Medicare PIN 00A883851 (CA); Medicare UPIN I58957; and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1093722126) · Data from the CMS NPPES public registry.