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

Active since April 05, 2015PECOS EnrolledAccepts Medicare Assignment
245 CHAPMAN ST STE 100, PROVIDENCE, RI 02905(401) 444-6118 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 28, 2026, Jan 3, 2023, Jun 18, 2019 (3 updates tracked since 2019).

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Justin Berk reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brown Medicine
1.2 mi
Gastroenterology
235 PLAIN ST STE 201
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 256 clinicians in this Medicare group
NPI 1730827767 (401) 861-8830
Lifespan Physician Group, Inc.
1.4 mi
General Practice
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 1,372 clinicians in this Medicare group
NPI 1407116643 (401) 444-6779
Rhode Island Hospital
1.4 mi
Multi-Specialty
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • Also billed through NPI 1861420333 (Rhode Island)
  • 358 clinicians in this Medicare group
NPI 1154537520 (401) 444-6905
Coastal Medical Physicians, Inc.
2.2 mi
Internal Medicine
15 LASALLE SQUARE
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 268 clinicians in this Medicare group
NPI 1780273540 (401) 444-4383

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 8

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

DR. VINCENT ANTHONY DIMAGGIO M.D.
Pediatrics
245 CHAPMAN ST STE 100
PROVIDENCE, RI 02905
Providence County (401) 444-6118
EKATERINA SKARITANOV MD
Student in an Organized Health Care Education/Training Program
245 CHAPMAN ST STE 100
PROVIDENCE, RI 02905
Providence County (401) 444-6118
LILLIAN SEO MD
Internal Medicine
245 CHAPMAN ST STE 100
PROVIDENCE, RI 02905
Providence County (401) 444-6118
DR. TALIA CLAIRE CAMPBELL MD
Student in an Organized Health Care Education/Training Program
245 CHAPMAN ST STE 100
PROVIDENCE, RI 02905
Providence County (401) 444-6118
CHINEME ONWUBUEKE
Student in an Organized Health Care Education/Training Program
245 CHAPMAN ST STE 100
PROVIDENCE, RI 02905
Providence County (401) 444-6118
GABRIELLE MONTALBANO MD
Internal Medicine
245 CHAPMAN ST STE 100
PROVIDENCE, RI 02905
Providence County (401) 444-6118
MRS. BRIANA L WINSTEAD LICSW
Social Worker (Clinical)
245 CHAPMAN ST STE 100
PROVIDENCE, RI 02905
Providence County (401) 444-6118
DR. KATHERINE ELIZABETH DUPREY PHARMD
Pharmacist (Ambulatory Care)
245 CHAPMAN ST STE 100
PROVIDENCE, RI 02905
Providence County (401) 444-6118

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 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.

Where is Justin Berk located?

Justin Berk practices at 245 Chapman St Ste 100, Providence, RI 02905. The listed phone number is (401) 444-6118.

What is Justin Berk's specialty?

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

Is Justin Berk enrolled in Medicare?

Yes. Justin Berk is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Justin Berk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Berk reassigns Medicare benefits to 4 organizations: Brown Medicine (Providence, RI), Lifespan Physician Group, Inc. (Providence, RI), Rhode Island Hospital (Providence, RI) and Coastal Medical Physicians, Inc. (Providence, RI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Berk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Justin Berk affiliated with any hospitals?

According to CMS data, Justin Berk is affiliated with Rhode Island Hospital.

When was this NPI record last updated?

The NPPES record for Justin Berk was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.