JOHN W BERKENBOSCH MD
NPI 1275517179
Pediatrics - Pediatric Critical Care Medicine in Louisville, KY

Active since December 05, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
231 E CHESTNUT ST, LOUISVILLE, KY 40202(502) 629-6000(502) 629-5865 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2020, Sep 28, 2020, Mar 11, 2020 (3 updates tracked since 2020).

About John W Berkenbosch Md NPPES

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

JOHN W BERKENBOSCH MD (NPI 1275517179) is an individual pediatric critical care medicine provider in Louisville, Kentucky, licensed in Kentucky (38590) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1275517179
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameJOHN W BERKENBOSCHCredential: MD
Location Address231 E CHESTNUT STLouisville, KY 40202-1821
Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 629-6000 · Fax (502) 629-5865
Fax(502) 629-5865
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateDecember 5, 2005
Last NPPES UpdateOctober 12, 20203 updates tracked since enumeration
NPPES CertifiedOctober 12, 2020
NPI 1275517179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in KY · 38590
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedAnesthesiology · Pediatric AnesthesiologyTaxonomy 207LP3000X · License 38590 (KY)
Also ListedPediatricsTaxonomy 208000000X · License 38590 (KY)
231 E CHESTNUT ST, Louisville, KY 40202

Other Identifiers 2

Medicaid64090947KY
Medicaid200493520IN

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

John W Berkenbosch 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 ID2466429469
PECOS Enrollment IDI20040910000263
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 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Surgery
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Pediatrics
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Pathology (Anatomic Pathology & Clinical Pathology)
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Pediatrics
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Pediatrics (Pediatric Emergency Medicine)
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Pediatrics
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Nurse Anesthetist, Certified Registered
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Pediatrics
231 E CHESTNUT ST
LOUISVILLE, KY 40202

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 John Berkenbosch's NPI number?

The NPI number for John Berkenbosch is 1275517179. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is John Berkenbosch located?

John Berkenbosch practices at 231 E Chestnut St, Louisville, KY 40202. The listed phone number is (502) 629-6000.

What is John Berkenbosch's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is John Berkenbosch enrolled in Medicare?

Yes. John Berkenbosch 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 John Berkenbosch accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list John Berkenbosch 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.

When was this NPI record last updated?

The NPPES record for John Berkenbosch was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.