JOHN T BERGER III MD
NPI 1306927215
Pediatrics - Pediatric Critical Care Medicine in Washington, DC
NPI Status: Active since October 18, 2006
Contact Information
111 MICHIGAN AVE NW
WASHINGTON, DC
ZIP 20010
Phone: (202) 884-2130
- Individual
- Male
- Pediatrics
- Pediatric Critical Care Medicine
- Accepts Insurance
- PECOS Enrolled
About JOHN BERGER
This page provides the complete NPI Profile along with additional information for John Berger, a pediatrician established in Washington, District Of Columbia with a medical specialization in Pediatrics, focusing in pediatric critical care medicine . The healthcare provider is registered in the NPI registry with number 1306927215 assigned on October 2006. The practitioner's primary taxonomy code is 2080P0203X with license number MD21064 (DC). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1306927215
- Provider Name
- JOHN T BERGER III MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 111 MICHIGAN AVE NW WASHINGTON, DC 20010
- Location Phone
- (202) 884-2130
- Mailing Address
- 111 MICHIGAN AVE NW WASHINGTON, DC 20010
- Mailing Phone
- (202) 884-2130
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-18-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A pediatrician like John Berger is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Critical Care Medicine
- Taxonomy Code
- 2080P0203X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD21064
- License State
- DC
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
- BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
- BlueSelect Bronze 1449 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - EPO
- BlueSelect Bronze 2139 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - EPO
- BlueSelect Bronze 2139E ($0 Virtual PCP Visits / $50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
- BlueSelect Bronze 2139V ($0 Virtual PCP Visits / $50 PCP Visits / Adult Vision / Rewards) - EPO
- BlueSelect Bronze 2342S ($50 PCP Visits / Multilingual Available / Rewards) - EPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) - POS
- BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) - POS
- BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 535129C95 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 6726313 | MEDICAID (05) | VA | |
| G43232 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
John Berger is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for JOHN T BERGER III MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 0 | 6 | 9 | 2 | 7 | 2 | 1 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 0 | 6 | 18 | 2 | 14 | 2 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 0 + 6 + 1 + 8 + 2 + 1 + 4 + 2 + 2 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1306927215 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1508862962 | MARION K. MCALPINE M.D. Individual | Physical Medicine & Rehabilitation | 111 MICHIGAN AVE NW WASHINGTON, DC 20010 (202) 476-3094 |
| 1518965284 | JANELLE VAUGHNS MD Individual | Anesthesiology (Pediatric Anesthesiology) | 111 MICHIGAN AVE NW WASHINGTON, DC 20010 (202) 884-2025 |
| 1417957879 | DR. KELLY D. STONE M.D., PH.D. Individual | Pediatrics (Pediatric Allergy/Immunology) | 111 MICHIGAN AVE NW 111 MICHIGAN AVENUE, NW WASHINGTON, DC 20010 (202) 884-4013 |
| 1457351819 | DR. TERRY R KIND M.D., MPH Individual | Pediatrics | 111 MICHIGAN AVE NW WASHINGTON, DC 20010 (202) 884-4013 |
| 1184604050 | DR. RUTH ELLEN HOLLO MD Individual | Pediatrics | 111 MICHIGAN AVE NW WASHINGTON, DC 20010 (202) 476-6878 |
| 1518935451 | DR. GEETANJALI SRIVASTAVA MD Individual | Pediatrics (Pediatric Emergency Medicine) | 111 MICHIGAN AVE NW CHILDREN'S NATIONAL MEDICAL CENTER WASHINGTON, DC 20010 (202) 884-4177 |
| 1194785311 | DR. LAWRENCE J. D'ANGELO MD Individual | Internal Medicine | 111 MICHIGAN AVE NW CHILDREN'S NATIONAL MEDICAL CENTER WASHINGTON, DC 20010 (202) 476-3068 |
| 1831156942 | DR. ANASTASSIOS CONSTANTIN KOUMBOURLIS MD, MPH Individual | Pediatrics (Pediatric Pulmonology) | 111 MICHIGAN AVE NW CHILDREN'S NATIONAL MEDICAL CENTER, SUITE 1030 WASHINGTON, DC 20010 (202) 476-2642 |
| 1457319006 | DR. ANITHA SARA JOHN MD PHD Individual | Internal Medicine (Cardiovascular Disease) | 111 MICHIGAN AVE NW WASHINGTON, DC 20010 (301) 572-1320 |
| 1831149426 | CLARIVET TORRES MD Individual | Pediatrics (Pediatric Gastroenterology) | 111 MICHIGAN AVE NW WASHINGTON, DC 20010 (202) 884-3058 |
| 1396797023 | BRIAN R JACOBS M.D. Individual | Pediatrics (Pediatric Critical Care Medicine) | 111 MICHIGAN AVE NW CMIO WASHINGTON, DC 20010 (202) 884-3969 |
| 1538104120 | ANIL DARBARI M.D. Individual | Pediatrics | 111 MICHIGAN AVE NW GASTROENTEROLOGY, WW2.5 WASHINGTON, DC 20010 (202) 476-3032 |
| 1073541173 | MS. CHRISTINE LYNN DANIELSON CPNP Individual | Nurse Practitioner (Pediatrics) | 111 MICHIGAN AVE NW UROLOGY WASHINGTON, DC 20010 (202) 476-5042 |
| 1043240674 | PETER R. HOLBROOK MD Individual | Pediatrics (Pediatric Critical Care Medicine) | 111 MICHIGAN AVE NW WASHINGTON, DC 20010 (202) 884-3256 |
| 1912938929 | DIANE L MORRISON NP Individual | Nurse Practitioner | 111 MICHIGAN AVE NW WASHINGTON, DC 20010 (202) 476-5000 |
| 1013949726 | PAUL EDWARD MANICONE MD Individual | Pediatrics | 111 MICHIGAN AVE NW WEST WING, FLOOR 1.5 SUITE 600 WASHINGTON, DC 20010 (202) 884-5000 |
| 1992723845 | DR. PAVAN PRADHUMA ZAVERI MD Individual | Pediatrics (Pediatric Emergency Medicine) | 111 MICHIGAN AVE NW WASHINGTON, DC 20010 (202) 884-4177 |
| 1902817422 | DOUGLAS MARC SILVERSTEIN MD Individual | Pediatrics (Pediatric Nephrology) | 111 MICHIGAN AVE NW WASHINGTON, DC 20010 (202) 884-5058 |
| 1154332674 | DR. RICHARD R. BOSCO MD Individual | Anesthesiology | 111 MICHIGAN AVE NW WASHINGTON, DC 20010 (202) 476-5000 |
| 1215949136 | DR. LETICIA MANNING RYAN MD Individual | Pediatrics (Pediatric Emergency Medicine) | 111 MICHIGAN AVE NW CNMC- DIVISION OF EMERGENCY MEDICINE WASHINGTON, DC 20010 (202) 476-4177 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306927215, enumerated in the NPI registry as an "individual" on October 18, 2006
The provider is located at 111 Michigan Ave Nw Washington, Dc 20010 and the phone number is (202) 884-2130
The provider's speciality is Pediatrics with taxonomy code 2080P0203X with a focus in Pediatric Critical Care Medicine
The provider might be accepting Accepts: Aetna CVS Health, Florida Blue (BlueCross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on October 18, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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