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JAMES BERMAN M.D
NPI 1376583229
Family Medicine in Newport Beach, CA

Active since June 08, 2006Opted out of Medicare · through Feb 9, 2028
361 HOSPITAL RD, 322, NEWPORT BEACH, CA 92663(949) 574-0777(949) 650-3505 Get Directions Write a Review

NPPES record last updated: January 21, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About James Berman M.d NPPES

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

JAMES BERMAN M.D (NPI 1376583229) is an individual family medicine provider in Newport Beach, California, licensed in California (G29627) and active in the NPI registry since June 2006. He has opted out of Medicare through February 9, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1376583229
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES BERMANCredential: M.D
Location Address361 HOSPITAL RD, 322Newport Beach, CA 92663-3522
Mailing AddressPo Box 3579Newport Beach, CA 92659-8579 · (949) 574-0777 · Fax (949) 650-3505
Phone(949) 574-0777
Fax(949) 650-3505
Sole ProprietorNo
Enumeration DateJune 8, 2006
Last NPPES UpdateJanuary 21, 2010
✔ NPI 1376583229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G29627
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

361 HOSPITAL RD, Newport Beach, CA 92663
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Other Identifiers 2

Medicare PINWG29627ACA
Medicare UPINA44091CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

James Berman M.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 9, 2016 through February 9, 2028.

Opt-Out Effective DateFebruary 9, 2016
Opt-Out In Effect ThroughFebruary 9, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92663 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

WARREN H FONG MD INC
Internal Medicine (Hematology & Oncology)
361 HOSPITAL RD, STE 530
NEWPORT BEACH, CA 92663
Orange County (949) 574-1610
BRENT C. NORMAN MD
Ophthalmology
361 HOSPITAL RD, SUITE 126
NEWPORT BEACH, CA 92663
Orange County (949) 722-3980
DOCTORS OFFICE FOR WOMEN
Obstetrics & Gynecology
361 HOSPITAL RD, SUITE 533
NEWPORT BEACH, CA 92663
Orange County (949) 650-7100
MICHAEL YU M.D
Family Medicine
361 HOSPITAL RD, 322
NEWPORT BEACH, CA 92663
Orange County (949) 574-0777
ATEF KHOUZAM M.D
Family Medicine
361 HOSPITAL RD, 322
NEWPORT BEACH, CA 92663
Orange County (949) 574-0777
ROBERT EVAN ANDERSON M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
361 HOSPITAL RD, SUITE 333
NEWPORT BEACH, CA 92663
Orange County (949) 642-8727
CAROL A JACKSON M.D.
Otolaryngology
361 HOSPITAL RD, STE 325
NEWPORT BEACH, CA 92663
Orange County (949) 574-7744
TONIA MARIE MARRALLE M.D.
Specialist
361 HOSPITAL RD, SUITE 424
NEWPORT BEACH, CA 92663
Orange County (949) 645-5885

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 James Berman's NPI number?

The NPI number for James Berman is 1376583229. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is James Berman located?

James Berman practices at 361 Hospital Rd 322, Newport Beach, CA 92663. The listed phone number is (949) 574-0777.

What is James Berman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Berman enrolled in Medicare?

No. James Berman has opted out of Medicare through February 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for James Berman was last updated on January 21, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.