DR. ROBERT A BERG MD
NPI 1639142086
Pediatrics - Pediatric Critical Care Medicine in Philadelphia, PA

Q: What is Robert Berg's NPI number?

The NPI number for Robert Berg is 1639142086. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Q: What is Robert Berg's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Robert Berg was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 08, 2006PECOS Enrolled

3401 CIVIC CENTER BLVD STE 9329, PHILADELPHIA, PA 19104(215) 590-1858(215) 590-1415 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Robert A Berg Md NPPES

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

DR. ROBERT A BERG MD (NPI 1639142086) is an individual pediatric critical care medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD434817) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in King Of Prussia.

NPPES Registry Identity

NPI1639142086

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameDR. ROBERT A BERGCredential: MD

Location Address3401 CIVIC CENTER BLVD STE 9329Philadelphia, PA 19104-4319

Mailing Address3401 Civic Center Blvd Ste 9329Philadelphia, PA 19104-4319 · (267) 425-9300 · Fax (267) 425-9331

Phone(215) 590-1858

Fax(215) 590-1415

Sole ProprietorNo

Enumeration DateFebruary 8, 2006

Last NPPES UpdateJune 1, 2023

NPPES CertifiedJune 1, 2023

✔ NPI 1639142086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in PA · MD434817✔ Licensed in AZ · 10695

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 ListedPediatricsTaxonomy 208000000X · License MD434817 (PA)

3401 CIVIC CENTER BLVD STE 9329, Philadelphia, PA 19104

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Secondary Practice Location 1

Location 1550 S Goddard BlvdKing Of Prussia, PA 19406-2922 · Phone (610) 337-3232 · Fax (610) 337-0325

Other Identifiers 4

Medicaid1021962790001PA

Other132339EMDPA · Medicare Ptan

Medicaid277021AZ

OtherZWCGCRAZ · Group Medicare Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Robert A Berg 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.

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.

RAJEEV SUBRAMANYAM IYER M.D.

Anesthesiology (Pediatric Anesthesiology)