Individual provider Active NPI

Wade Joseph Gebara, M.D.

  • Radiation Oncology Physician
  • Pittsfield, MA
National Provider Identifier
1114027612
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
209218 Issued in MA
Practice address
725 North St
Department of Radiation Oncology
Pittsfield, MA 01201-4109
Phone
(413) 447-2461
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 209218 MA Primary

Addresses

Primary practice location

725 North St
Department of Radiation Oncology
Pittsfield, MA 01201-4109

Mailing address

149 Oblong Rd
Williamstown, MA 01267-3038
Phone (413) 458-9975

Other identifiers 5

IdentifierTypeStateIssuer
01813203MedicaidMA
1007786OtherVTVERMONT HEALTH ACCESS
1007786MedicaidVT
9714677OtherMAMASS HEALTH PROVIDER
000000023752OtherMAMASS HEALTH NET PROVIDER

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
I20110803000441 MA Practitioner - Radiation Oncology 2264476167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Medical College of Georgia School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

725 N St
Pittsfield, MA 01201-4109
Phone (413) 447-2461

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209218MAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Radiation Oncology PC Radiation Oncology CurrentSince May 28, 2001 Accepting new patients

Locations

165 Tor Ct
Pittsfield, MA 01201
Phone (413) 447-2862

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

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": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1114027612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 OBLONG RD",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012673038",
            "telephone_number": "413-458-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 NORTH ST",
            "address_2": "DEPARTMENT OF RADIATION ONCOLOGY",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014109",
            "telephone_number": "413-447-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBARA",
        "first_name": "WADE",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MA",
            "license": "209218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01813203",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VERMONT HEALTH ACCESS",
            "identifier": "1007786",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007786",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS HEALTH PROVIDER",
            "identifier": "9714677",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS HEALTH NET PROVIDER",
            "identifier": "000000023752",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.