Individual provider Active NPI

Andrew Plager, M.D.

  • Internal Medicine Physician
  • Stockbridge, MA
National Provider Identifier
1114057718
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
72466 Issued in MA
Practice address
1 Maple Street
Stockbridge, MA 01262
Phone
(413) 298-3168
Fax
(413) 298-5446
NPI assigned
Mar 6, 2007
Last updated
Jun 25, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 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 72466 MA Primary

Addresses

Primary practice location

1 Maple Street
Stockbridge, MA 01262

Mailing address

PO Box 1309
Stockbridge, MA 01262-1309
Phone (413) 637-0044

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
I20040315000194 MA Practitioner - Internal MedicinePractitioner - Emergency Medicine 9931098258 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Medical Center, Inc CurrentSince Oct 1, 2008 Accepting new patients
Berkshire Faculty Services Inc CurrentSince Feb 1, 2015 Accepting new patients
Fairview Hospital CurrentSince Feb 1, 2015 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Oct 1, 2008 Accepting new patients

Locations

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

489 Pittsfield Rd
Lenox, MA 01240
Phone (413) 499-3141

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1114057718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1309",
            "city": "STOCKBRIDGE",
            "state": "MA",
            "postal_code": "012621309",
            "telephone_number": "413-637-0044",
            "fax_number": "413-298-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MAPLE STREET",
            "city": "STOCKBRIDGE",
            "state": "MA",
            "postal_code": "01262",
            "telephone_number": "413-298-3168",
            "fax_number": "413-298-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAGER",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "72466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, MA

Sources for this page

Verify at the official NPI Registry.