KENNETH WALTER BEROZA (MD) – Psychiatry Physician, NPI 1760539803

KENNETH WALTER BEROZA (MD) is a healthcare provider. based in Mt pleasant, Michigan. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 4301054743 (MI). The NPI Number for KENNETH WALTER BEROZA (MD) is 1760539803

Main info

Male
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH WALTER BEROZA (MD)
NPI
1760539803
Phone
(989) 773-5095
Address
PO BOX 336
Enumeration Date
4 January 2007
Last Update Date
7 May 2008

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
9894632779
Graduation Year
1985 (41 years ago)
PAC ID
8921051509
Group Practice PAC ID
1153228721
Professional Enrollment ID
I20050223000487
Address ID
MI488011010AL120XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,216 PSYCHIATRY in MI

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Provider Addresses for KENNETH WALTER BEROZA (MD)

  • PO BOX 336

    MT PLEASANT, MI 48804

    Phone: (989) 773-5095

    Fax: (989) 772-2827

    Type: Mailing

  • Kinney Street, Mount Pleasant, Bellevue, Sandusky County, Ohio, 44811, United States

    MT PLEASANT, MI 48858

    Phone: (989) 773-5095

    Fax: (989) 772-2827

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $255.

Total Amount is formed as General ($255) + Research ($0) + Ownership ($0) = $255.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($237).

Total Amount

$255

General + Research + Ownership

Payments

3

Total payment records

General Amount

$255

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2005-02-23

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
I20050223000487IPsychiatryMITBD

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 minutes17767$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes14452$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4434$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 48804)

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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: 1153228721View full group profile
NameSpecialtyState
Nurse PractitionerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Nurse PractitionerMI
-MI
P S Y C H I A T R YMI
-MI
Nurse PractitionerMI
Clinical Social WorkerMI
P S Y C H I A T R YMI

Reviews

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Frequently asked questions

What number should I use to identify KENNETH WALTER BEROZA (MD) for billing?
Administrative and clinical systems typically use NPI 1760539803 for KENNETH WALTER BEROZA (MD).
Quick check: is KENNETH WALTER BEROZA (MD) active?
Public NPPES data shows KENNETH WALTER BEROZA (MD) with an active NPI status right now.
How should patients interpret KENNETH WALTER BEROZA (MD)'s specialty?
The extract shows Psychiatry Physician for KENNETH WALTER BEROZA (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to KENNETH WALTER BEROZA (MD)?
KENNETH WALTER BEROZA (MD) is associated with Mt Pleasant, Michigan in the same public data insurers reference.
Why is information missing for KENNETH WALTER BEROZA (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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