Individual provider Active NPI

Nigel A Stippa, M.D.

  • Ophthalmology Physician
  • Pittsfield, MA
National Provider Identifier
1104200468
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
282689 Issued in MA
Practice address
740 Williams St Ste 3
Pittsfield, MA 01201-7462
Phone
(413) 445-4564
Fax
(413) 448-2727
NPI assigned
Jul 16, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 282689 MA Primary

Addresses

Primary practice location

740 Williams St Ste 3
Pittsfield, MA 01201-7462

Mailing address

740 Williams St Ste 3
Pittsfield, MA 01201-7462
Phone (413) 445-4564

Other practice location 1

1750 E Glendale Ave
Phoenix, AZ 85020-5505
Phone (602) 242-4928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NY, MA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190603002192 AZ Practitioner - Ophthalmology 0941593883 Reassigns benefits to 1 organization
I20200107000693 NY Practitioner - Ophthalmology 0941593883 Reassigns benefits to 1 organization
I20200421000532 MA Practitioner - Ophthalmology 0941593883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Texas Tech University Health Science Center School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkshire Eye Center PCGroup PAC ID 6901844802, 9 clinicians

Practice addresses (Care Compare)

2967 US Hwy 9 402
Valatie, NY 12184-4826
Phone (518) 758-9286

740 Williams St
Pittsfield, MA 01201-7463
Phone (413) 445-4564

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
282689MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Jul 1, 2019 Accepting new patients
District Medical Group, Inc CurrentSince Jul 1, 2019 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Berkshire Eye Center PC Ophthalmology CurrentSince Apr 15, 2020 Accepting new patients

Locations

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

409 Stockbridge Rd
Great Barrington, MA 01230
Phone (413) 528-8848

740 Williams St
Ste 3
Pittsfield, MA 01201
Phone (413) 445-4564

740 Williams St
Pittsfield, MA 01201
Phone (413) 445-4564

2967 US Highway 9
Ste 402
Valatie, NY 12184
Phone (518) 758-9286

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.

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1104200468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 WILLIAMS ST STE 3",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012017462",
            "telephone_number": "413-445-4564",
            "fax_number": "413-448-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 WILLIAMS ST STE 3",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012017462",
            "telephone_number": "413-445-4564",
            "fax_number": "413-448-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1750 E Glendale Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850205505",
            "country_code": "US",
            "telephone_number": "602-242-4928",
            "fax_number": "602-249-4813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STIPPA",
        "first_name": "NIGEL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-16",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "282689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.