DR. SUSAN AMELIA BERRY M.D. NPI 1982640264

NPI Information

NPI: 1982640264
Provider Name: DR. SUSAN AMELIA BERRY, M.D.
Classification: Medical Genetics - 207SG0201X
Entity Type: Individual

Specialization: Clinical Genetics (M.D.)

Organization: UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER INC

PECOS Registration: Yes

Address:
UNIVERSITY OF MINNESOTA PHYSICIANS
516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-6777
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DR. Susan Amelia Berry, M.D. is a clinical genetics (m.d.) medical genetics in Minneapolis, MN with 46 years of experience. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. DR. Susan Amelia Berry, M.D. NPI is 1982640264. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduation Year:1978

The provider's business location address is:

UNIVERSITY OF MINNESOTA PHYSICIANS
516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-6777

The NPI 1982640264 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 4/20/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		26368	MINNESOTA	No
2	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	26368	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	24479	OTHER	MINNESOTA	ARAZ
2	12-24753	OTHER	MINNESOTA	MEDICA CHOICE
3	370010896	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA	RAILROAD MEDICARE
4	0052275	MEDICAID	MONTANA
5	370001027	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA	MN MEDICARE
6	30580800	MEDICAID	WISCONSIN
7	2T262BE	OTHER	MINNESOTA	BCBS
8	1270280	OTHER	MINNESOTA	MEDICA PRIMARY
9	HP12898	OTHER	MINNESOTA	HEALTHPARTNERS
10	666773200	MEDICAID	MINNESOTA
11	1990358	MEDICAID	IOWA
12	41184394337	MEDICAID	NEBRASKA
13	1010201	OTHER	MINNESOTA	PREFERRED ONE
14	100978	OTHER	MINNESOTA	UCARE
15	D83765	MEDICARE UPIN	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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