SUSAN S BERDY M.D.
NPI 1245287051
Allergy & Immunology - Allergy in Saint Louis, MO

Active since May 27, 2006PECOS Enrolled
456 N NEW BALLAS RD, SUITE 129, SAINT LOUIS, MO 63141(314) 569-1881(314) 569-3277 Get Directions Write a Review

NPPES record last updated: May 11, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan S Berdy M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN S BERDY M.D. (NPI 1245287051) is an individual allergy provider in Saint Louis, Missouri, licensed in Missouri (R8F57) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245287051
Entity TypeIndividualFemale
Primary Taxonomy207KA0200X
Provider Legal NameSUSAN S BERDYCredential: M.D.
Location Address456 N NEW BALLAS RD, SUITE 129Saint Louis, MO 63141-6831
Mailing Address456 N New Ballas Rd, Suite 129Saint Louis, MO 63141-6831 · (314) 569-1881 · Fax (314) 569-3277
Fax(314) 569-3277
Sole ProprietorNo
Enumeration DateMay 27, 2006
Last NPPES UpdateMay 11, 2015
NPI 1245287051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
License Licensed in MO · R8F57
Definition
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
456 N NEW BALLAS RD, Saint Louis, MO 63141

Other Identifiers 1

Medicare UPINE55266MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Susan S Berdy M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
456 N NEW BALLAS RD, SUITE 304
SAINT LOUIS, MO 63141
Pediatrics
456 N NEW BALLAS RD, STE 304
SAINT LOUIS, MO 63141
Psychiatry & Neurology (Neurology)
456 N NEW BALLAS RD, SUITE 324
CREVE COEUR, MO 63141
Obstetrics & Gynecology
456 N NEW BALLAS RD, SUITE 220
SAINT LOUIS, MO 63141
Pediatrics
456 N NEW BALLAS RD, STE 304
SAINT LOUIS, MO 63141
Pediatrics
456 N NEW BALLAS RD, STE 304
SAINT LOUIS, MO 63141
Nurse Practitioner
456 N NEW BALLAS RD, STE 304
SAINT LOUIS, MO 63141
Dermatology
456 N NEW BALLAS RD, STE 118
SAINT LOUIS, MO 63141

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 Susan Berdy's NPI number?

The NPI number for Susan Berdy is 1245287051. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Susan Berdy located?

Susan Berdy practices at 456 N New Ballas Rd Suite 129, Saint Louis, MO 63141. The listed phone number is (314) 569-1881.

What is Susan Berdy's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Is Susan Berdy enrolled in Medicare?

Yes. Susan Berdy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Berdy was last updated on May 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.