NPIMap

Individual provider Active NPI

Mark P Vanden Bosch, MD

  • Anesthesiology Physician
  • Pittsfield, MA
National Provider Identifier
1336132521
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
214246 Issued in MA
Practice address
725 North St
Berkshire Medical Center
Pittsfield, MA 01201-4132
Phone
(413) 447-2555
Fax
(413) 443-7039
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 214246 MA Primary

Addresses

Primary practice location

725 North St
Berkshire Medical Center
Pittsfield, MA 01201-4132

Mailing address

100 North St
Ste 413
Pittsfield, MA 01201-5109
Phone (413) 447-2555

Other identifiers 1

IdentifierTypeStateIssuer
0180807MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051220000192 MA Practitioner - Anesthesiology 3476575457 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Michigan Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview HospitalGroup PAC ID 1254240773, shared by 6 NPIs, 56 clinicians

Practice addresses (Care Compare)

29 Lewis Ave
Great Barrington, MA 01230-1713
Phone (413) 528-8615

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Medical Center, Inc CurrentSince Jul 1, 2006 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Jul 1, 2006 Accepting new patients
Fairview Hospital CurrentSince Apr 17, 2010 Accepting new patients
Fairview Hospital CurrentSince Aug 29, 2025 Accepting new patients
Fairview Hospital CurrentSince Apr 17, 2010 Accepting new patients
North Penn Anesthesiology Associates, Inc Anesthesiology Past Accepting new patients
Tri County Anesthesia Associates, PC Anesthesiology Past Accepting new patients
Anesticare Anesthesia Services Anesthesiology Past Accepting new patients
Philadelphia Gastroenterology Group, P.C. PastSince May 13, 2014 Accepting new patients
Anestiplus, Inc. Anesthesiology Past Accepting new patients
Berkshire Anesthesiologists PC Anesthesiology Past Accepting new patients

Locations

29 Lewis Ave
Gt Barrington, MA 01230
Phone (413) 528-0790

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

Organizations & group practices 11

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 1

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1336132521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NORTH ST",
            "address_2": "STE 413",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015109",
            "telephone_number": "413-447-2555",
            "fax_number": "413-443-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 NORTH ST",
            "address_2": "BERKSHIRE MEDICAL CENTER",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014132",
            "telephone_number": "413-447-2555",
            "fax_number": "413-443-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEN BOSCH",
        "first_name": "MARK",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "214246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0180807",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.