NPIMap

Organization Active NPI

Berkshire Medical Center, Inc

  • General Acute Care Hospital
  • Pittsfield, MA
National Provider Identifier
1295765261
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
VQKK Issued in MA
Legal business name
BERKSHIRE MEDICAL CENTER, INC
Practice address
725 North St
Pittsfield, MA 01201-4109
Phone
(413) 447-2000
Fax
(413) 447-2803
NPI assigned
Jul 4, 2006
Last updated
Aug 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Mrs. Darlene Rodowicz
Title
Chief Financial Officer
Phone
(413) 447-2809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X VQKK MA Primary

Addresses

Primary practice location

725 North St
Pittsfield, MA 01201-4109

Mailing address

725 North St
Pittsfield, MA 01201-4109
Phone (413) 447-2000

Other identifiers 15

IdentifierTypeStateIssuer
1200143MedicaidMA
0160OtherMVP
2222004610OtherMABCMA OUTPATIENT
900357OtherHARVARD PILGRIM
20300OtherMABMCHNP
HO1478OtherOXFORD HEALTH PLANS
10005746OtherCDPHP
1099981MedicaidMA
6300730OtherAETNA
905652OtherTUFTS HEALTH PLAN INPT
900201OtherTUFTS HEALTH PLAN OUTPT
10558OtherHEALTH NEW ENGLAND
2222004601OtherMABCMA INPATIENT
2222004630OtherMABCMA SDC
991396OtherCONNECTICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040324000088 MA Part B Supplier - Clinic/Group Practice 1355232711 Receives reassigned benefits from 435 practitioners
Practice locations: North Adams, MA; Pittsfield, MA
O20080107000062 MA Part A Provider - Hospital 1355232711 Practice locations: Pittsfield, MA; North Adams, MA; Lenox, MA; Great Barrington, MA; Adams, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295765261. Details of each certification follow.

Hospital certification: CCN 220046

Legal name
BERKSHIRE MEDICAL CENTER INC
Doing business as
BERKSHIRE MEDICAL CENTER INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Oct 1, 1968
Last certification
Aug 16, 2001
Beds
319
Ownership / control type
Other
Organization structure
CorporationNon-profit
Enrollment address
725 North St
Pittsfield, MA 12014109
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Berkshire Medical CenterCCN 220046 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: brittneyalexander@bmc.medalliesdirect.net

Ownership & related parties

All disclosed owners & managing parties 29

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David Hall Individual Corporate Director Jan 1, 2019
Alfred a Barbalunga Individual Corporate Director Sep 12, 2017
Susan Kormanik Individual Corporate Director Jan 1, 2011
Deborah Renzi Individual Corporate OfficerDirector Jan 1, 2024
Leticia S E Haynes Individual Corporate DirectorBoard Member Jan 1, 2021
Jeannette Smith Individual Corporate OfficerDirector Jan 1, 2024
Brenda Cadorette Individual Corporate OfficerChief Nursing Officer Jun 5, 2011
W-2 Managing EmployeeChief Nursing Officer Jun 5, 2011
Edith Dobelle Individual Corporate Director Sep 12, 2017
BHS Management Services Inc Organization, Pittsfield, MA Non-profit Operational/Managerial Control Nov 2, 1990 100%
David Moresi Individual Corporate OfficerDirector Aug 9, 2022
Lisa Lescarbeau Individual Corporate OfficerClerk of Board of Directors Jan 1, 2025
Anakatina Cordon Suffish Individual Corporate OfficerDirector Aug 9, 2022
BHS Management Services, Inc. Organization, Pittsfield, MA Non-profit Operational/Managerial Control Nov 2, 1990 100%
Kathleen M McCormick Individual Corporate OfficerDirector Jan 1, 2023
Laurie Moffatt Individual Corporate OfficerDirector Jan 1, 2023
Alec R Belman Individual Corporate OfficerDirector Oct 1, 2022
Shaun V. Cusson Individual Corporate OfficerDirector Jan 1, 2024
Albert a Bravo Individual Corporate Director Apr 9, 2019
James Lederer Individual Corporate OfficerChief Medical Officer Jan 13, 2020
Matthew Lauro Individual Corporate DirectorDirector Jan 1, 2025
Berkshire Health System Inc Organization, Pittsfield, MA Non-profit 5% Or Greater Direct Ownership Interest Oct 1, 1990 100%
Edmund H Hornstein Individual Corporate Director Apr 9, 2019
Ashley Benson Individual Corporate DirectorDirector Jan 1, 2025
Frederick W Puddester Individual Corporate Director Jan 1, 2023
Scott St George Individual Corporate Officer Nov 2, 2020
Richard Alcombright Individual Corporate Director Jan 1, 2019
Jason M Bratcher Individual Corporate DirectorDirector Jan 1, 2025
Robert Cella Individual Corporate Director Sep 12, 2017
Darlene M Rodowicz Individual Corporate OfficerChief Executive Officer Jan 1, 2005 100%

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Berkshire Medical Center IncPittsfield, MA, CCN 22S046 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 2, 1990
Berkshire Medical Center IncPittsfield, MA, CCN 22T046 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 2, 1990
Berkshire Visiting Nurse AssociationPittsfield, MA, CCN 227122 Home health agency 5% Or Greater Direct Ownership Interest (100%) Nov 2, 1990

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 479

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 479

Affiliated clinicians 747

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 747

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1295765261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014109",
            "telephone_number": "413-447-2000",
            "fax_number": "413-447-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014109",
            "telephone_number": "413-447-2000",
            "fax_number": "413-447-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "RODOWICZ",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "413-447-2809",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MA",
            "license": "VQKK",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1200143",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "0160",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCMA OUTPATIENT",
            "identifier": "2222004610",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "900357",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMCHNP",
            "identifier": "20300",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "HO1478",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10005746",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1099981",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6300730",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN INPT",
            "identifier": "905652",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN OUTPT",
            "identifier": "900201",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "10558",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCMA INPATIENT",
            "identifier": "2222004601",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCMA SDC",
            "identifier": "2222004630",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "991396",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.