DR. REYHAN BERKEL MD
NPI 1265630180
Internal Medicine in Clifton, NJ

Active since July 03, 2007PECOS EnrolledAccepts Medicare Assignment
48.87/100
CMS Quality Rating
1300 MAIN AVE, 2A, CLIFTON, NJ 07011(973) 340-0160(201) 270-5112 Get Directions Write a Review

NPPES record last updated: December 21, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Reyhan Berkel Md NPPES

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

DR. REYHAN BERKEL MD (NPI 1265630180) is an individual internal medicine provider in Clifton, New Jersey, licensed in New Jersey (25MA08709600) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Valley Hospital, and is a graduate of Michigan State University College Of Human Medicine (2007).

NPPES Registry Identity

NPI1265630180
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. REYHAN BERKELCredential: MD
Location Address1300 MAIN AVE, 2AClifton, NJ 07011-2266
Mailing Address301 Beech St, 5cHackensack, NJ 07601-2114 · (517) 303-3120 · Fax (201) 270-5112
Fax(201) 270-5112
Sole ProprietorYes
Medical School CMSMichigan State University College Of Human MedicineGraduated 2007
Enumeration DateJuly 3, 2007
Last NPPES UpdateDecember 21, 2013
NPI 1265630180 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 NJ · 25MA08709600
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 ListedHospitalistTaxonomy 208M00000X · License 25MA08709600 (NJ)
1300 MAIN AVE, Clifton, NJ 07011

Other Identifiers 1

Other1245663277NJ · Group Npi

Accepted Insurance

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

Dr. Reyhan Berkel Md 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 ID648457366
PECOS Enrollment IDI20110607000264
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
1,433 services367 patients
Initial hospital inpatient care per day, typically 70 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
325 services278 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
210 services182 patients
Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
187 services45 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services18 patients

Hospital Affiliations CMS Care Compare

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

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07011 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

48.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality70.03
Improvement Activities0
Cost52.86

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each A4390
DME-Orthotic Devices · category DF010N
1 supplier12 claims160 services$9.29 avg. paid by Medicare
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470
DME-Other DME · category DE001N
1 supplier12 claims12 services$62.05 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier20 claims20 services$18.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

Obstetrics & Gynecology
1300 MAIN AVE, SUITE 2A
CLIFTON, NJ 07011
Dentist (General Practice)
1300 MAIN AVE, SUITE 1A
CLIFTON, NJ 07011
Specialist
1300 MAIN AVE, SUITE 2D
CLIFTON, NJ 07011
Specialist
1300 MAIN AVE, SUITE D
CLIFTON, NJ 07011
Internal Medicine
1300 MAIN AVE, SUITE 2D
CLIFTON, NJ 07011
Obstetrics & Gynecology
1300 MAIN AVE, SUITE 2A
CLIFTON, NJ 07011
Internal Medicine
1300 MAIN AVE, SUITE 2A
CLIFTON, NJ 07011
Specialist
1300 MAIN AVE, SUITE 1B
CLIFTON, NJ 07011

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 Reyhan Berkel's NPI number?

The NPI number for Reyhan Berkel is 1265630180. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Where is Reyhan Berkel located?

Reyhan Berkel practices at 1300 Main Ave 2A, Clifton, NJ 07011. The listed phone number is (973) 340-0160.

What is Reyhan Berkel's specialty?

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

Is Reyhan Berkel enrolled in Medicare?

Yes. Reyhan Berkel 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.

What insurance does Reyhan Berkel accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Reyhan Berkel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Reyhan Berkel affiliated with any hospitals?

According to CMS data, Reyhan Berkel is affiliated with Valley Hospital.

When was this NPI record last updated?

The NPPES record for Reyhan Berkel was last updated on December 21, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.