Active NPI
Andrew B Lederman, MD
- Surgery Physician
- Pittsfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 221742
- Practice address
- 777 North St
Suite 407
Pittsfield, MA 01201-4147 - Phone
- (413) 445-6420
- Fax
- (413) 499-4907
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 221742 | MA | Primary |
Addresses
Primary practice location
777 North St
Suite 407
Pittsfield, MA 01201-4147
Mailing address
777 North St Ste 407
PO Box 1677
Pittsfield, MA 01201-4172
Phone (413) 445-6420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2080320 | Medicaid | MA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041025000954 | MA | Practitioner - General Surgery | 5496716201 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Virginia School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
780 S Main St
Suite 2
Great Barrington, MA 01230-2149
Phone (413) 447-2498
Hospital & facility affiliations
- Berkshire Visiting Nurse Association
- Berkshire Medical Center
- North Adams Regional Hospital Corporation
- Fairview Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 67 |
| Hernia repair (minimally invasive) | 33 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 108 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Hospital | Current | Accepting new patients | |
| Berkshire Faculty Services Inc | Current | Accepting new patients | |
| Berkshire Medical Center, Inc | Past | Accepting new patients |
Locations
780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498
510 North St
Ste 202
Pittsfield, MA 01201
Phone (413) 442-2462
725 North St
Pittsfield, MA 01201
Phone (413) 447-2839
777 North St
Ste 407
Pittsfield, MA 01201
Phone (413) 445-6420
Interoperability endpoints
- andrewlederman@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.
-
- Rural Health Clinic/Center
- Great Barrington, MA
- NPI 1881252286
-
- General Acute Care Hospital
- Pittsfield, MA
- NPI 1295765261
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Pittsfield, MA
- NPI 1205948973
-
- Critical Access Hospital
- North Adams, MA
- NPI 1437839669
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260748800000",
"number": "1316935554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 NORTH ST STE 407",
"address_2": "PO BOX 1677",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012014172",
"telephone_number": "413-445-6420",
"fax_number": "413-499-4907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 NORTH ST",
"address_2": "SUITE 407",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012014147",
"telephone_number": "413-445-6420",
"fax_number": "413-499-4907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDERMAN",
"first_name": "ANDREW",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2009-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "221742",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2080320",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.