Individual provider Active NPI

John Anthony Loiodice, M.D., F.A.C.S.

  • Otolaryngology Physician
  • Pittsfield, MA
National Provider Identifier
1275641029
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
45563 Issued in MA
Practice address
510 North St
Suite One
Pittsfield, MA 01201-4111
Phone
(413) 448-8291
Fax
(413) 447-9040
NPI assigned
Aug 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 45563 MA Primary

Addresses

Primary practice location

510 North St
Suite One
Pittsfield, MA 01201-4111

Mailing address

510 North St
Suite One
Pittsfield, MA 01201-4111
Phone (413) 448-8291

Other identifiers 1

IdentifierTypeStateIssuer
0109169MedicaidMA

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
I20031111000695 MA Practitioner - Otolaryngology 5799698106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Wayne State University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkshire Faculty Services IncGroup PAC ID 8224068424, 276 clinicians

Practice addresses (Care Compare)

71 Hospital Ave
North Adams, MA 01247-2504
Phone (413) 395-7694

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

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Faculty Services Inc CurrentSince Jan 1, 2022 Accepting new patients
Fairview Hospital CurrentSince Jan 1, 2022 Accepting new patients

Locations

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

510 North St
Ste 1
Pittsfield, MA 01201
Phone (413) 447-2351

510 North St
Ste 10
Pittsfield, MA 01201
Phone (413) 448-8291

Interoperability endpoints

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

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Fairview HospitalGreat Barrington, MA, CCN 221302 Hospital Corporate Director Oct 1, 2022
Fairview HospitalGreat Barrington, MA, CCN 22Z302 Hospital Corporate Director Oct 1, 2022
North Adams Regional Hospital CorporationNorth Adams, MA, CCN 221304 Hospital Corporate Director Mar 1, 2024
Berkshire Health Systems, Inc.North Adams, MA, CCN 22Z304 Hospital Corporate Director Mar 1, 2024

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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

Hospital & facility affiliations 3

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275641029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 NORTH ST",
            "address_2": "SUITE ONE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014111",
            "telephone_number": "413-448-8291",
            "fax_number": "413-447-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 NORTH ST",
            "address_2": "SUITE ONE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014111",
            "telephone_number": "413-448-8291",
            "fax_number": "413-447-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOIODICE",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "45563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0109169",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.