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DR. REZENE BERHANE M.D.
NPI 1851316137
Internal Medicine in Northfolk, MA

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
31 PINE STREET, SUITE 300, NORTHFOLK, MA 02056(508) 623-3700(508) 623-3701 Get Directions Write a Review

NPPES record last updated: January 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Rezene Berhane M.d. NPPES

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

DR. REZENE BERHANE M.D. (NPI 1851316137) is an individual internal medicine provider in Northfolk, Massachusetts, licensed in Massachusetts (79294) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Sturdy Memorial Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1851316137
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. REZENE BERHANECredential: M.D.
Location Address31 PINE STREET, SUITE 300Northfolk, MA 02056
Mailing Address31 Pine Street, Suite 300Northfolk, MA 02056 · (508) 623-3700 · Fax (508) 623-3701
Phone(508) 623-3700
Fax(508) 623-3701
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateJuly 13, 2006
Last NPPES UpdateJanuary 5, 2017
✔ NPI 1851316137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 79294
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.
31 PINE STREET, Northfolk, MA 02056
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Other Identifiers 3

Medicare UPINA21868MA
Medicare ID-Type UnspecifiedJ16715MA
Medicaid3154246MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Rezene Berhane M.d. 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 ID4385621598
PECOS Enrollment IDI20040706001079
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 6

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.

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
406 services42 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
404 services69 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.
270 services97 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
58 services11 patients
Smoking and tobacco use intensive counseling, more than 10 minutes 99407
This service involves an in-depth discussion about the risks of smoking and tobacco use, spanning over 10 minutes. It provides personalized strategies to quit smoking, including coping techniques for withdrawal symptoms and triggers. The goal is to support your journey towards a healthier lifestyle.
37 services20 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Sturdy Memorial Hospital

Acute Care Hospitals · Attleboro, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220008
Location211 Park StreetAttleboro, MA 02703 · Bristol County
Emergency services Birthing friendly

Morton Hospital

Acute Care Hospitals · Taunton, MA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number220073
Location88 Washington StreetTaunton, MA 02780 · Bristol County
Emergency services

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02056 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Reported Quality Measures

Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
88%870 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
94%508 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
5%508 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

DR. AHMED BASHEER MD
Internal Medicine
31 PINE STREET, SUITE 300
NORFOLK, MA 02056
Norfolk County (508) 623-3700
NEAL R PATEL MD
Pediatrics
31 PINE STREET, SUITE 103
NORFOLK, MA 02056
Norfolk County (508) 668-2200
DR. JOHN JOSEPH ADAMS M.D.
Internal Medicine
31 PINE STREET, SUITE 300
NORFOLK, MA 02056
Norfolk County (508) 623-3700
DR. MICHAEL JUDE HIGGINS M.D.
Internal Medicine
31 PINE STREET, SUITE 300
NORFOLK, MA 02056
Norfolk County (508) 623-3700
RIAD K MORTADA MD
Internal Medicine
31 PINE STREET, SUITE 300
NORFOLK, MA 02056
Norfolk County (508) 623-3700

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 Rezene Berhane's NPI number?

The NPI number for Rezene Berhane is 1851316137. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Rezene Berhane located?

Rezene Berhane practices at 31 Pine Street Suite 300, Northfolk, MA 02056. The listed phone number is (508) 623-3700.

What is Rezene Berhane's specialty?

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

Is Rezene Berhane enrolled in Medicare?

Yes. Rezene Berhane 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 Rezene Berhane accept?

Health plans from Anthem Blue Cross and Blue Shield list Rezene Berhane 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 Rezene Berhane affiliated with any hospitals?

According to CMS data, Rezene Berhane is affiliated with Sturdy Memorial Hospital, Morton Hospital and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Rezene Berhane was last updated on January 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.