JONATHAN SAMUEL BEREK (MD) – Gynecologic Oncology Physician, NPI 1164447900

JONATHAN SAMUEL BEREK (MD) is a healthcare provider. based in Stanford, California. specializing in OBSTETRICS/GYNECOLOGY, GYNECOLOGICAL ONCOLOGY. They hold the professional credentials MD. They hold a License No. G39480 (CA). The NPI Number for JONATHAN SAMUEL BEREK (MD) is 1164447900

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN SAMUEL BEREK (MD)
NPI
1164447900
Phone
(650) 724-0456
Address
300 PASTEUR DR
Enumeration Date
13 July 2006
Last Update Date
19 April 2024

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6507234000
Graduation Year
1973 (53 years ago)
PAC ID
2365439536
Group Practice PAC ID
6709797491
Professional Enrollment ID
I20040428001697
Address ID
CA943052200ST300XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,008 OBSTETRICS/GYNECOLOGY in CA

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Provider Addresses for JONATHAN SAMUEL BEREK (MD)

  • Stanford Hospital, 300, Pasteur Drive, Palo Alto, Santa Clara County, California, 94305, United States

    STANFORD, CA 943052200

    Phone: (650) 724-0456

    Fax: (650) 726-0902

    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)

CMS reports 7 Open Payments records for all available years, with a total value of $16,485.

Total Amount is formed as General ($16,485) + Research ($0) + Ownership ($0) = $16,485.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($16,420).

Total Amount

$16,485

General + Research + Ownership

Payments

7

Total payment records

General Amount

$16,485

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-04-28

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040428001697IObstetrics/GynecologyCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94305)

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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: 6709797491View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
-CA
-CA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
Hematology, Medical OncologyNY
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerCA
Nurse PractitionerCA
Neuropsychiatry, NeurologyCA

Reviews

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Frequently asked questions

What federal number belongs to JONATHAN SAMUEL BEREK (MD)?
The federal identifier for JONATHAN SAMUEL BEREK (MD) is NPI 1164447900.
Is JONATHAN SAMUEL BEREK (MD) active in the national directory?
JONATHAN SAMUEL BEREK (MD)'s public NPI profile is in an active state.
What field does JONATHAN SAMUEL BEREK (MD) work in?
You can think of JONATHAN SAMUEL BEREK (MD) as practicing within Gynecologic Oncology Physician. Clinical services aligned with this taxonomy classification.
Does JONATHAN SAMUEL BEREK (MD) practice in California?
You will see Stanford, California on file for JONATHAN SAMUEL BEREK (MD) alongside any extra practice locations.
What if Stanford, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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