Berkshire Cosmetic & Reconstructive Surgery Center Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BERKSHIRE COSMETIC & RECONSTRUCTIVE SURGERY CENTER INC.

Practice address

426 South St
Pittsfield, MA 01201-8228

Phone

(413) 496-9272

Fax

(413) 442-6990

NPI assigned

Jun 6, 2006

Organization subpart

No

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

Authorized official

Name

Basil M. Michaels, M.D.NPI 1053354175

Title

Owner/President

Phone

(413) 496-9272

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Listed as

Berkshire Cosmetic and Reconstructive Surgery Center IncCCN 22C0001035

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Basil M. Michaels, MD

  • Plastic Surgery Physician
  • Pittsfield, MA
  • NPI 1053354175
  NPD (past) Authorized official

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1285673186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012018228",
            "telephone_number": "413-496-9272",
            "fax_number": "413-442-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012018228",
            "telephone_number": "413-496-9272",
            "fax_number": "413-442-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE COSMETIC & RECONSTRUCTIVE SURGERY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "MICHAELS",
        "authorized_official_first_name": "BASIL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "413-496-9272",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "694456",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "M88023",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Berkshire Community Action Council
• Berkshire County Arc, Inc
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• Berkshire County Arc, Inc.
• Berkshire County Arc, Inc.
• Berkshire County Arc, Inc.

• Ambulatory Surgical Clinic/Center in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Ambulatory Surgical Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.