Individual provider Active NPI

Malathi Yella, M.D.

  • Internal Medicine Physician
  • Pittsfield, MA
National Provider Identifier
1043393895
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
215563 Issued in MA
Practice address
631B North St
Suite a
Pittsfield, MA 01201-4102
Phone
(413) 442-8324
Fax
(413) 442-8334
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 215563 MA Primary

Addresses

Primary practice location

631B North St
Suite a
Pittsfield, MA 01201-4102

Mailing address

20 Meadow Ridge Dr
Pittsfield, MA 01201-5762
Phone (413) 442-8324

Other identifiers 7

IdentifierTypeStateIssuer
468128OtherMATUFTS
31526OtherMAHEALTH NEW ENGLAND
J25433OtherMABCBS
361432OtherMAMVP (MOHAWK VALLEY PLAN)
695067OtherMAHPHC
1392573OtherMACIGNA
7765386OtherMAAETNA/US HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050302000609 MA Practitioner - Internal Medicine 6800849704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

188 E St
Suite 103
Pittsfield, MA 01201-5362
Phone (413) 442-8324

Hospital & facility affiliations

  • Berkshire Visiting Nurse Association Home health agency, Pittsfield, MA, CCN 227122
  • Amedisys Home Health Care Home health agency, Agawam, MA, CCN 227288
  • Berkshire Medical Center Hospital, Pittsfield, MA, CCN 220046
  • North Adams Regional Hospital Corporation Hospital, North Adams, MA, CCN 221304
  • Fairview Hospital Hospital, Great Barrington, MA, CCN 221302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
215563MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Clinical Associates LLC Internal Medicine CurrentSince Jun 8, 2006 Accepting new patients

Locations

51 S Church St
Pittsfield, MA 01201
Phone (413) 442-8330

188 East St
Ste 103
Pittsfield, MA 01201
Phone (413) 442-8324

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1043393895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MEADOW RIDGE DR",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015762",
            "telephone_number": "413-442-8324",
            "fax_number": "413-442-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631B NORTH ST",
            "address_2": "SUITE A",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014102",
            "telephone_number": "413-442-8324",
            "fax_number": "413-442-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELLA",
        "first_name": "MALATHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "215563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "468128",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "31526",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J25433",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP (MOHAWK VALLEY PLAN)",
            "identifier": "361432",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "695067",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1392573",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/US HEALTHCARE",
            "identifier": "7765386",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.