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Mass General Brigham Medical Group Western Massachusetts Inc

Organization Active NPI Family Medicine Physician · Northampton, MA

NPI 1295787919 · NPPES record last updated Jun 2, 2025

Key facts

NPI
1295787919
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
MASS GENERAL BRIGHAM MEDICAL GROUP WESTERN MASSACHUSETTS INC
Practice address
30 Locust St
Northampton, MA 01060-2052
Phone
(413) 582-2898
Fax
(413) 582-2958
NPI assigned
May 17, 2006
Organization subpart
No

Authorized official

Name
Lindsay Gainer
Title
President & Coo
Phone
(857) 282-3914

Other NPIs with the same Medicare PAC ID 1

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

Practitioners 675

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

View all 675

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040302000290 MA Part B Supplier - Clinic/Group Practice 2567359839 Receives reassigned benefits from 619 practitioners
Practice locations: Williamsburg, MA; West Hatfield, MA; Southampton, MA; South Deerfield, MA; S Deerfield, MA; Northampton, MA; Hadley, MA; Amherst, MA…

National Provider Directory

Locations (25 of 40)

170 University Dr
Fl 2
Amherst, MA 01002

100 University Dr
Ste 2
Amherst, MA 01002
Phone (413) 582-0100

170 University Dr
Ste 102
Amherst, MA 01002
Phone (413) 253-2287

17 Research Dr
Ste 301
Amherst, MA 01002

175 State St
Belchertown, MA 01007
Phone (413) 323-7700

100 Blossom St
#3
Boston, MA 02114
Phone (617) 724-1836

179 Northampton St
Ste G
Easthampton, MA 01027
Phone (413) 527-8255

329 Conway St
Greenfield, MA 01301
Phone (413) 774-6301

33 Riddell St
Ste 1
Greenfield, MA 01301
Phone (413) 586-8200

234 Russell St
Ste 3
Hadley, MA 01035

2 Hospital Dr
Holyoke, MA 01040
Phone (413) 493-1592

38 Mulberry St
Leeds, MA 01053
Phone (413) 585-9452

15 Atwood Dr
Ste 201
Northampton, MA 01060
Phone (413) 584-4637

22 Atwood Dr
Ste 201
Northampton, MA 01060
Phone (413) 582-4907

22 Atwood Dr
Ste 203
Northampton, MA 01060
Phone (413) 582-9186

15 Atwood Dr
Fl 2
Northampton, MA 01060

15 Atwood Dr
#2
Northampton, MA 01060

10 Locust St
Northampton, MA 01060

22 Atwood Dr
#3
Northampton, MA 01060

22 Atwood Dr
Fl 3
Northampton, MA 01060
Phone (413) 582-1847

30 Locust St
#100
Northampton, MA 01060

76 Carlon Dr
Ste A
Northampton, MA 01060
Phone (413) 584-4637

22 Atwood Dr
Ste 202
Northampton, MA 01060

22 Atwood Dr
Ste 102
Northampton, MA 01060
Phone (413) 586-9866

22 Atwood Dr
Ste 205
Northampton, MA 01060
Phone (413) 584-2178

Interoperability endpoints

  • Direct secure messaging: dumont.charles.cdh@direct.partners.masshiway.net
  • Direct secure messaging: lawrence.matthew.cdh@direct.partners.masshiway.net
  • Direct secure messaging: klich-nowak.teresa.cdh@direct.partners.masshiway.net
  • Direct secure messaging: eggemeier.sara.cdh@direct.partners.masshiway.net
  • Direct secure messaging: lesperance.jennifer.cdh@direct.partners.masshiway.net
  • Direct secure messaging: preston.linda.cdh@direct.partners.masshiway.net
  • Direct secure messaging: buford.sofia.cdh@direct.partners.masshiway.net
  • Direct secure messaging: walker.amy.cdh@direct.partners.masshiway.net
  • Direct secure messaging: marino.rachel.cdh@direct.partners.masshiway.net
  • Direct secure messaging: serlin.david.cdh@direct.partners.masshiway.net
  • Direct secure messaging: jansson.paul.cdh@direct.partners.masshiway.net
  • Direct secure messaging: azam.nasreen.cdh@direct.partners.masshiway.net
  • Direct secure messaging: maltsev.christine.cdh@direct.partners.masshiway.net
  • Direct secure messaging: levin.joanne.cdh@direct.partners.masshiway.net
  • Direct secure messaging: pluta.kinga.cdh@direct.partners.masshiway.net
  • Direct secure messaging: bartus.james.cdh@direct.partners.masshiway.net
  • Direct secure messaging: bringardner.kirsten.cdh@direct.partners.masshiway.net
  • Direct secure messaging: moore.jamie.cdh@direct.partners.masshiway.net
  • Direct secure messaging: mccracken.helena.cdh@direct.partners.masshiway.net
  • Direct secure messaging: boshe.catherine.cdh@direct.partners.masshiway.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Anesthesiology) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207LH0002X MA
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X
Critical Care Medicine (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RC0200X
Hematology & Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RH0003X
Infectious Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RI0200X
Obstetrics & Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207V00000X
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208000000X
Physical Medicine & Rehabilitation Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208100000X
Plastic Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208200000X
Psychiatry Physician 2084P0800X
Vascular & Interventional Radiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2085R0204X
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208600000X
Podiatrist
Group: 193200000X MULTI-SPECIALTY GROUP		 213E00000X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

30 Locust St
Northampton, MA 01060-2052

Mailing address

399 Revolution Dr
Somerville, MA 02145-1484

Other identifiers

IdentifierTypeStateIssuer
CJ0816OtherMAMEDICARE RAILROAD
M15904OtherMABLUE CROSS BLUE SHIELD OF MASSACHUSETTS
614074OtherMATUFTS HEALTH PLAN
9774653MedicaidMA
617074OtherMATUFTS HEALTH PLAN
M15904OtherMABCBS OF MASS

Other names

  • CD PRACTICE ASSOCIATES, INC Former legal business name

Other providers in Northampton, MA

All providers in Northampton, MA · Family Medicine Physician in Massachusetts

Sources for this page

Verify at the official NPI Registry.