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NATHAN B BERAHA M.D.
NPI 1700882529
Pediatrics - Adolescent Medicine in Lincoln, RI

Active since June 27, 2005PECOS Enrolled
1 COMMERCE ST, PEDIATRICS, LINCOLN, RI 02865(401) 793-8484(401) 793-8481 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 7, 2020, Aug 3, 2018 (2 updates tracked since 2018).

About Nathan B Beraha M.d. NPPES

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

NATHAN B BERAHA M.D. (NPI 1700882529) is an individual adolescent medicine provider in Lincoln, Rhode Island, licensed in Rhode Island (MD06656) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Attleboro.

NPPES Registry Identity

NPI1700882529
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameNATHAN B BERAHACredential: M.D.
Location Address1 COMMERCE ST, PEDIATRICSLincoln, RI 02865
Mailing Address1 Commerce St, PediatricsLincoln, RI 02865-1168 · (401) 793-8484 · Fax (401) 793-8481
Phone(401) 793-8484
Fax(401) 793-8481
Sole ProprietorNo
Enumeration DateJune 27, 2005
Last NPPES UpdateDecember 7, 20202 updates tracked since enumeration
NPPES CertifiedDecember 7, 2020
✔ NPI 1700882529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Licenses✔ Licensed in RI · MD06656✔ Licensed in WI · 40994-020✔ Licensed in MA · 204275
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License MD06656 (RI), 204275 (MA)
1 COMMERCE ST, Lincoln, RI 02865
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Secondary Practice Location 1

Location 1152 Emory St Ste 300Attleboro, MA 02703-2461 · Phone (401) 793-8484 · Fax (401) 793-8481

Other Identifiers 2

Medicaid2005484MA
Medicaid7002149RI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathan B Beraha M.d. 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 11

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

UNIVERSITY FOOT & ANKLE CENTER INC
Podiatrist (Foot & Ankle Surgery)
1 COMMERCE ST
LINCOLN, RI 02865
Providence County (401) 861-8830
ROBERT H COHEN M.D.
Internal Medicine
1 COMMERCE ST, INTERNAL MEDICINE
LINCOLN, RI 02865
Providence County (401) 793-8500
GEORGE L CONNORS PA
Physician Assistant
1 COMMERCE ST, 2ND FL
LINCOLN, RI 02865
Providence County (401) 793-8500
LINDA LOUISE REXFORD MD
Pediatrics
1 COMMERCE ST, SUITE 100
LINCOLN, RI 02865
Providence County (401) 793-8484
SUSAN L PAKULA M.D.
Pediatrics (Adolescent Medicine)
1 COMMERCE ST, PEDIATRICS
LINCOLN, RI 02865
Providence County (401) 793-8484
MARIE A CORRENTE FNP
Nurse Practitioner (Family)
1 COMMERCE ST, 2ND FL
LINCOLN, RI 02865
Providence County (401) 793-8484
VILLAGE FERTILITY PHARMACY, INC.
Pharmacy (Compounding Pharmacy)
1 COMMERCE ST
LINCOLN, RI 02865
Providence County (401) 334-1600
JACQUELYN M ARIETA FNP
Nurse Practitioner (Family)
1 COMMERCE ST, ANCHOR MEDICAL ASSOCIATES PEDIATRIC DEPARTMENT
LINCOLN, RI 02865
Providence County (401) 793-8484

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 Nathan Beraha's NPI number?

The NPI number for Nathan Beraha is 1700882529. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Nathan Beraha located?

Nathan Beraha practices at 1 Commerce St Pediatrics, Lincoln, RI 02865. The listed phone number is (401) 793-8484.

What is Nathan Beraha's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Nathan Beraha enrolled in Medicare?

Yes. Nathan Beraha is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nathan Beraha was last updated on December 7, 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.