NPIMap

Individual provider Active NPI

Amanda M Staples Opperman, DO

  • Internal Medicine Physician
  • Lenox, MA
National Provider Identifier
1265745350
Registry record updated Jun 3, 2015
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Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
259759 Issued in MA
Practice address
55 Pittsfield Lenox Rd
Lenox Commons, Ste 12D
Lenox, MA 01240-2123
Phone
(413) 344-1700
NPI assigned
Jul 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 245125 MA
Internal Medicine Physician 207R00000X 259759 MA Primary

Addresses

Primary practice location

55 Pittsfield Lenox Rd
Lenox Commons, Ste 12D
Lenox, MA 01240-2123

Mailing address

55 Pittsfield Lenox Rd
Lenox Commons, Ste 12D
Lenox, MA 01240-2123
Phone (413) 344-1700

Other names 1

  • Amanda M Staples Former name

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
I20150610000490 MA Practitioner - Internal Medicine 4688899768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of New England, College of Osteo Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Berkshire Faculty Services IncGroup PAC ID 8224068424, 276 clinicians

Practice addresses (Care Compare)

780 S Main St
Suite 2
Great Barrington, MA 01230-2149
Phone (413) 447-2498

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
  • Fairview Hospital Hospital, Great Barrington, MA, CCN 221302
  • North Adams Regional Hospital Corporation Hospital, North Adams, MA, CCN 221304

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
245125MAMDInternal Medicine Physician
259759MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Hospital CurrentSince Feb 5, 2015 Accepting new patients
Berkshire Faculty Services Inc CurrentSince Feb 5, 2015 Accepting new patients
Hillcrest Family Health Center Internal Medicine Past Accepting new patients

Locations

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

55 Pittsfield Rd
Ste 12D
Lenox, MA 01240
Phone (413) 344-1700

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

Interoperability endpoints

  • Direct secure messaging: amandastaples@bfs.medalliesdirect.net

Organizations & group practices 3

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 7

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": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1265745350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PITTSFIELD LENOX RD",
            "address_2": "LENOX COMMONS, STE 12D",
            "city": "LENOX",
            "state": "MA",
            "postal_code": "012402123",
            "telephone_number": "413-344-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PITTSFIELD LENOX RD",
            "address_2": "LENOX COMMONS, STE 12D",
            "city": "LENOX",
            "state": "MA",
            "postal_code": "012402123",
            "telephone_number": "413-344-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLES OPPERMAN",
        "first_name": "AMANDA",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "245125",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "259759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "STAPLES",
            "middle_name": "M",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lenox, MA

Sources for this page

Verify at the official NPI Registry.