DR. ROBERT NGO BERTHOLD (M.D.) – Psychiatry Physician, NPI 1114003787
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,134 PSYCHIATRY in CA
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Provider Addresses for DR. ROBERT NGO BERTHOLD (M.D.)
14623, Hawthorne Boulevard, Lawndale, Los Angeles County, California, 90260, United States
SUITE 400
LAWNDALE, CA 902601581
Phone: (310) 970-5023
Type: Location
1136, Magnolia Avenue, Gardena, Los Angeles County, California, 90247, United States
GARDENA, CA 902474305
Phone: (310) 800-7017
Type: Mailing
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: 2011-01-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110131000572 | I | Psychiatry | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 79 | 21 | $0 |
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 65 | 13 | $0 |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 55 | 18 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 48 | 15 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 41 | 11 | $0 |
Insurance plans in this area (ZIP 90260)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | CA | |
| P S Y C H I A T R Y | CA | |
| Clinical Social Worker | CA | |
| P S Y C H I A T R Y | CA | |
| - | CA | |
| P S Y C H I A T R Y | CA | |
| - | CA | |
| Clinical Social Worker | CA | |
| Clinical Social Worker | CA | |
| Psychiatry, Addiction Medicine | CA |
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