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SALLY BERRYMAN MD
NPI 1306877790
Internal Medicine in Saint Paul, MN

Active since July 05, 2006PECOS Enrolled
1020 BANDANA BLVD W, SAINT PAUL, MN 55108(651) 641-7000(651) 641-7166 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sally Berryman Md NPPES

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

SALLY BERRYMAN MD (NPI 1306877790) is an individual internal medicine provider in Saint Paul, Minnesota, licensed in Minnesota (35576) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306877790
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSALLY BERRYMANCredential: MD
Location Address1020 BANDANA BLVD WSaint Paul, MN 55108-5107
Mailing Address1021 Bandana Blvd E, Suite 200Saint Paul, MN 55108-5113 · (651) 642-2700 · Fax (651) 642-9441
Phone(651) 641-7000
Fax(651) 641-7166
Sole ProprietorNo
Enumeration DateJuly 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1306877790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 35576
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.
1020 BANDANA BLVD W, Saint Paul, MN 55108
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Other Identifiers 2

Medicaid259867100MN
Medicare UPINF32147

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sally Berryman Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55108 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 20

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

JOHN STANSBURY MD
Dermatology
1020 BANDANA BLVD W
SAINT PAUL, MN 55108
Ramsey County (651) 641-7000
JOHN MAGELI MD
Internal Medicine
1020 BANDANA BLVD W
SAINT PAUL, MN 55108
Ramsey County (651) 241-9700
JAMES GRINOLS MD
Pediatrics
1020 BANDANA BLVD W
SAINT PAUL, MN 55108
Ramsey County (651) 641-7021
MINDY L BENTON DPM
Podiatrist
1020 BANDANA BLVD W
SAINT PAUL, MN 55108
Ramsey County (651) 641-7000
LAURA JARVIS PA-C
Physician Assistant
1020 BANDANA BLVD W
SAINT PAUL, MN 55108
Ramsey County (651) 336-1391
JOHN HEYEN OD
Optometrist
1020 BANDANA BLVD W
SAINT PAUL, MN 55108
Ramsey County (651) 241-7000
JANILYN RICHARDSON MD
Internal Medicine
1020 BANDANA BLVD W
SAINT PAUL, MN 55108
Ramsey County (651) 241-9700
STEVEN R KIESTER DPM
Podiatrist
1020 BANDANA BLVD W
SAINT PAUL, MN 55108
Ramsey County (651) 641-7000

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 Sally Berryman's NPI number?

The NPI number for Sally Berryman is 1306877790. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Sally Berryman located?

Sally Berryman practices at 1020 Bandana Blvd W, Saint Paul, MN 55108. The listed phone number is (651) 641-7000.

What is Sally Berryman's specialty?

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

Is Sally Berryman enrolled in Medicare?

Yes. Sally Berryman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sally Berryman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.