JOSEPH ROSSI BERGER MD
NPI 1659573475
Internal Medicine - Nephrology in Dallas, TX

Active since June 04, 2007PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
5323 HARRY HINES BLVD, DALLAS, TX 75390(214) 648-2992(214) 648-8727 Get Directions Write a Review

NPPES record last updated: April 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joseph Rossi Berger Md NPPES

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

JOSEPH ROSSI BERGER MD (NPI 1659573475) is an individual nephrology provider in Dallas, Texas, licensed in Texas (M9855) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Parkland Health & Hospital System, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2004).

NPPES Registry Identity

NPI1659573475
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameJOSEPH ROSSI BERGERCredential: MD
Location Address5323 HARRY HINES BLVDDallas, TX 75390-7201
Mailing AddressPo Box 845347Dallas, TX 75284-5347 · (214) 648-2992 · Fax (214) 648-8727
Fax(214) 648-8727
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2004
Enumeration DateJune 4, 2007
Last NPPES UpdateApril 30, 2013
NPI 1659573475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in TX · M9855
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License M9855 (TX)
5323 HARRY HINES BLVD, Dallas, TX 75390

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

Joseph Rossi Berger 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 ID749349025
PECOS Enrollment IDI20081030000819
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.

Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
145 services60 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 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.
87 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 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.
64 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
28 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Parkland Health & Hospital System

Acute Care Hospitals · Dallas, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450015
Location5200 Harry Hines BlvdDallas, TX 75235 · Dallas County
Emergency services Birthing friendly
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

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.

Physician Assistant
5323 HARRY HINES BLVD
DALLAS, TX 75390
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Pediatrics
5323 HARRY HINES BLVD
DALLAS, TX 75390
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Internal Medicine (Infectious Disease)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Pain Medicine (Interventional Pain Medicine)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Internal Medicine (Hematology)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Pediatrics
5323 HARRY HINES BLVD
DALLAS, TX 75390

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 Joseph Berger's NPI number?

The NPI number for Joseph Berger is 1659573475. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Where is Joseph Berger located?

Joseph Berger practices at 5323 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (214) 648-2992.

What is Joseph Berger's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Joseph Berger enrolled in Medicare?

Yes. Joseph Berger 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 Joseph Berger accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Joseph Berger 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 Joseph Berger affiliated with any hospitals?

According to CMS data, Joseph Berger is affiliated with Parkland Health & Hospital System and Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Joseph Berger was last updated on April 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.