NPIMap

Individual provider Active NPI

Tracy Elizabeth Hagerty, M.D.

  • Cardiovascular Disease Physician
  • Pittsfield, MA
National Provider Identifier
1073722674
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A49513 Issued in CA
Practice address
725 North St
Pittsfield, MA 01201-4109
Phone
(413) 447-2000
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 042-0014691 VT
Clinical Cardiac Electrophysiology Physician 207RC0001X A49513 CA
Cardiovascular Disease Physician 207RC0000X A49513 CA Primary

Addresses

Primary practice location

725 North St
Pittsfield, MA 01201-4109

Mailing address

725 North St
Pittsfield, MA 01201-4109

Other practice location 1

62 Tilley Dr Ste 101
South Burlington, VT 05403-4407
Phone (802) 847-4600

Other practice location 2

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20200320001692 VT Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7719047141 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Saint Louis University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwestern Medical Center IncGroup PAC ID 5496714313, 105 clinicians

Practice addresses (Care Compare)

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

133 Fairfield St
Saint Albans, VT 05478-1726
Phone (802) 524-1227

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042-0014691VTMDCardiovascular Disease Physician
A49513CAMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Center, Inc CurrentSince May 18, 2020 Accepting new patients
Northwestern Medical Center, Inc. Current Accepting new patients
Porter Hospital, Inc Cardiovascular Disease CurrentSince Apr 3, 2024 Accepting new patients
Northwestern Medical Center, Inc. Current Accepting new patients
University of Vermont Medical Center Inc CurrentSince Mar 10, 2020 Accepting new patients
Northwestern Medical Center Inc CurrentSince May 18, 2020 Accepting new patients
Central Vermont Medical Center Inc Cardiovascular Disease CurrentSince Apr 3, 2024 Accepting new patients
Northwestern Medical Center, Inc. Cardiovascular Disease Past Accepting new patients
University of Vermont Medical Center Inc Past Accepting new patients
Fletcher Allen Health Care Inc PastSince Mar 10, 2020 Accepting new patients
Ton Santa Rosa Health Center Past Accepting new patients
Ton Sells Hospital Past Accepting new patients
Ton San Xavier Health Center Past Accepting new patients
Ton San Simon Health Center Past Accepting new patients

Locations

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

104 Porter Dr
Middlebury, VT 05753
Phone (802) 388-5682

82 Catamount Park
Middlebury, VT 05753
Phone (802) 388-7185

133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227

3 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554

118 Tilley Dr
Ste 102
South Burlington, VT 05403
Phone (802) 847-4600

62 Tilley Dr
Ste 101
South Burlington, VT 05403
Phone (802) 847-4514

Interoperability endpoints

  • Direct secure messaging: tracy.hagerty@nmc.medalliesdirect.net
  • Direct secure messaging: tracyhagerty@bfs.medalliesdirect.net
  • Direct secure messaging: thagerty374818@direct.uvmhealth.org

Organizations & group practices 14

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.

View all 14

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1073722674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014109",
            "telephone_number": "413-447-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "62 Tilley Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "South Burlington",
            "state": "VT",
            "postal_code": "054034407",
            "country_code": "US",
            "telephone_number": "802-847-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Colchester Ave",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054011473",
            "country_code": "US",
            "telephone_number": "802-847-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGERTY",
        "first_name": "TRACY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VT",
            "license": "042-0014691",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "A49513",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A49513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.