NPIMap

Individual provider Active NPI

Thomas A McNulty, M.D.

  • Cardiovascular Disease Physician
  • Pittsfield, MA
National Provider Identifier
1073685210
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
44382 Issued in MA
Practice address
276 South St
Pittsfield, MA 01201-6835
Phone
(413) 442-1571
Fax
(413) 443-3567
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 44382 MA Primary

Addresses

Primary practice location

276 South St
Pittsfield, MA 01201-6835

Mailing address

276 South St
Pittsfield, MA 01201-6835
Phone (413) 442-1571

Other identifiers 1

IdentifierTypeStateIssuer
2073404MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080102000390 MA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 5193805224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
University of Vermont College of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

18 Charles St
Pittsfield, MA 01201-3302
Phone (413) 442-1571

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Pittsfield, MA, CCN 227219
  • Amedisys Home Health Care Home health agency, Agawam, MA, CCN 227288
  • Berkshire Visiting Nurse Association Home health agency, Pittsfield, MA, CCN 227122
  • Hospicecare in the Berkshires Hospice, Pittsfield, MA, CCN 221531
  • Berkshire Medical Center Hospital, Pittsfield, MA, CCN 220046
  • North Adams Regional Hospital Corporation Hospital, North Adams, MA, CCN 221304

Merit-based Incentive Payment System (MIPS)

Final score
22.63 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44382MAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Care Inc Cardiovascular Disease CurrentSince Oct 22, 2007 Accepting new patients
David M Grygier MD LLC PastSince Oct 22, 2007 Accepting new patients
Neurological Diagnostic and Treatment Center Inc Past Accepting new patients

Locations

18 Charles St
Pittsfield, MA 01201
Phone (413) 442-1571

Organizations & group practices 4

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 6

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073685210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016835",
            "telephone_number": "413-442-1571",
            "fax_number": "413-443-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016835",
            "telephone_number": "413-442-1571",
            "fax_number": "413-443-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNULTY",
        "first_name": "THOMAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "44382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2073404",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.