Individual provider Active NPI

Marcin Marek Zygawski, M.D.

  • Ophthalmology Physician
  • Pittsfield, MA
National Provider Identifier
1396747556
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
231111-1 Issued in NY
Practice address
740 Williams St
Suite #3
Pittsfield, MA 01201-7463
Phone
(413) 445-4564
Fax
(413) 448-2727
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 231111-1 NY
Ophthalmology Physician 207W00000X 231111-1 NY Primary

Addresses

Primary practice location

740 Williams St
Suite #3
Pittsfield, MA 01201-7463

Mailing address

740 Williams St
Suite #3
Pittsfield, MA 01201-7463
Phone (413) 445-4564

Other identifiers 2

IdentifierTypeStateIssuer
101090936 0001MedicaidNY
110103937AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040603000347 NY Practitioner - Ophthalmology 7810979861 Reassigns benefits to 1 organization
I20150911001855 MA Practitioner - Ophthalmology 7810979861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albany Medical College of Union University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkshire Eye Center PCGroup PAC ID 6901844802, 9 clinicians

Practice addresses (Care Compare)

740 Williams St
Pittsfield, MA 01201-7463
Phone (413) 445-4564

Hospital & facility affiliations

  • Berkshire Medical Center Hospital, Pittsfield, MA, CCN 220046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery576

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231111-1NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Eye Center PC Ophthalmology CurrentSince Sep 1, 2015 Accepting new patients
Tri State Eye Ophthalmology of Middletown PC Specialist PastSince Jul 13, 2000 Accepting new patients

Locations

409 Stockbridge Rd
Great Barrington, MA 01230
Phone (413) 528-8848

740 Williams St
Ste 3
Pittsfield, MA 01201
Phone (413) 445-4564

740 Williams St
Pittsfield, MA 01201
Phone (413) 445-4564

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.

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1396747556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 WILLIAMS ST",
            "address_2": "SUITE #3",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012017463",
            "telephone_number": "413-445-4564",
            "fax_number": "413-448-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 WILLIAMS ST",
            "address_2": "SUITE #3",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012017463",
            "telephone_number": "413-445-4564",
            "fax_number": "413-448-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZYGAWSKI",
        "first_name": "MARCIN",
        "middle_name": "MAREK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "231111-1",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "231111-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101090936 0001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110103937A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.