MARY A MIOUX BERRY (DO) – Physical Medicine & Rehabilitation Physician, NPI 1023014750

MARY A MIOUX BERRY (DO) is a healthcare provider. based in Pasadena, California. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials DO. They hold a License No. 036084547 (IL). The NPI Number for MARY A MIOUX BERRY (DO) is 1023014750

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
MARY A MIOUX BERRY (DO)
NPI
1023014750
Phone
(626) 403-1444
Address
630 S RAYMOND AVE
Enumeration Date
27 June 2005
Last Update Date
8 October 2009

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
2176203319
Graduation Year
1988 (38 years ago)
PAC ID
2860412368
Group Practice PAC ID
8022306737
Professional Enrollment ID
I20051129000821
Address ID
IL622697457SH2351XEXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,149 PHYSICAL MEDICINE AND REHABILITATION in CA

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Provider Addresses for MARY A MIOUX BERRY (DO)

  • 630, South Raymond Avenue, Madison Heights, Pasadena, Los Angeles County, California, 91105, United States

    SUITE #120

    PASADENA, CA 911053278

    Phone: (626) 403-1444

    Fax: (626) 403-1448

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-07-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051129000821IPhysical Medicine And RehabilitationILTBD
I20090717000103IPhysical Medicine And RehabilitationCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,044196$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes22586$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes211196$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes1817$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1811$0
View full utilization report →

Insurance plans in this area (ZIP 91105)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022306737View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Internal Medicine, HospitalistIL
Nurse PractitionerIL
-IL
Internal MedicineMO

Reviews

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Frequently asked questions

Does MARY A MIOUX BERRY (DO) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARY A MIOUX BERRY (DO) uses 1023014750.
Does the file indicate MARY A MIOUX BERRY (DO) is practicing under active NPI?
Directory data currently reports MARY A MIOUX BERRY (DO) as active.
What is MARY A MIOUX BERRY (DO)'s primary classification?
Physical Medicine & Rehabilitation Physician is the headline specialty for MARY A MIOUX BERRY (DO) here. Clinical services aligned with this taxonomy classification.
Where should I expect MARY A MIOUX BERRY (DO) on a map?
Expect Pasadena, California as a primary anchor for MARY A MIOUX BERRY (DO) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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