Individual provider Active NPI

Kenneth Patterson, M.D.

  • Emergency Medicine Physician
  • Great Barrington, MA
National Provider Identifier
1427150374
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
75740 Issued in MA
Practice address
29 Lewis Ave
Fairview Hospital Emergency Dept
Great Barrington, MA 01230-1713
Phone
(413) 854-9638
Fax
(413) 854-9639
NPI assigned
Sep 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 75740 MA Primary

Addresses

Primary practice location

29 Lewis Ave
Fairview Hospital Emergency Dept
Great Barrington, MA 01230-1713

Mailing address

29 Lewis Ave
Fairview Hospital Emergency Dept
Great Barrington, MA 01230-1713
Phone (413) 854-9638

Other identifiers 1

IdentifierTypeStateIssuer
MA75740OtherCDPHP

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050419001221 MA Practitioner - Emergency MedicinePractitioner - Family Practice 8123066388 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Massachusetts LLC CurrentSince Aug 2, 2023 Accepting new patients
Berkshire Medical Center, Inc CurrentSince Apr 15, 2014 Accepting new patients
North Adams Regional Hospital Corporation CurrentSince Apr 25, 2024 Accepting new patients
North Adams Regional Hospital Corporation CurrentSince Apr 25, 2024 Accepting new patients
Berkshire Faculty Services Inc CurrentSince Feb 1, 2015 Accepting new patients
Fairview Hospital CurrentSince Feb 1, 2015 Accepting new patients
CH Specialty Services Ma PC CurrentSince Aug 2, 2023 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Apr 15, 2014 Accepting new patients

Locations

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

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

71 Hospital Ave
North Adams, MA 01247
Phone (413) 664-4343

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

819 Worcester St
Ste 1
Springfield, MA 01151
Phone (337) 408-0805

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427150374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 LEWIS AVE",
            "address_2": "FAIRVIEW HOSPITAL EMERGENCY DEPT",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301713",
            "telephone_number": "413-854-9638",
            "fax_number": "413-854-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 LEWIS AVE",
            "address_2": "FAIRVIEW HOSPITAL EMERGENCY DEPT",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301713",
            "telephone_number": "413-854-9638",
            "fax_number": "413-854-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "KENNETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "75740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "MA75740",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Barrington, MA

Sources for this page

Verify at the official NPI Registry.