JUSTIN LEE BERK M.D. - NPI 1245625300 - Internal Medicine in Providence, RI

Q: What is Justin Berk's NPI number?

The NPI number for Justin Berk is 1245625300. It was assigned to this individual provider in the NPPES registry on April 5, 2015.

Q: What is Justin Berk's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Berk was last updated on January 28, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Justin Lee Berk M.d. NPPES

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

JUSTIN LEE BERK M.D. (NPI 1245625300) is an individual internal medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD16768) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1245625300

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJUSTIN LEE BERKCredential: M.D.

Location Address245 CHAPMAN ST STE 100Providence, RI 02905-4539

Mailing Address15 La Salle SqProvidence, RI 02903-1814 · (401) 444-6779

Phone(401) 444-6118

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2015

Enumeration DateApril 5, 2015

Last NPPES UpdateJanuary 28, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2026

✔ NPI 1245625300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in RI · MD16768

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X · License MD16768 (RI)

245 CHAPMAN ST STE 100, Providence, RI 02905

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Secondary Practice Locations 2

Location 1593 Eddy StProvidence, RI 02903-4923 · Phone (401) 444-4741 · Fax (401) 444-4445

Location 2375 Wampanoag TrlRiverside, RI 02915-2232 · Phone (401) 649-4050

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin Lee Berk M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678891827

PECOS Enrollment IDI20221228002468

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

DR. VINCENT ANTHONY DIMAGGIO M.D.

Pediatrics