NPIMap

Organization Active NPI

Baystate Medical Center Inc

Doing business as Baystate Medical Center

  • General Acute Care Hospital
  • Springfield, MA
National Provider Identifier
1487655064
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
2339 Issued in MA
Legal business name
BAYSTATE MEDICAL CENTER INC
Doing business as
Baystate Medical Center
Practice address
759 Chestnut St
Springfield, MA 01199-1001
Phone
(413) 794-0000
NPI assigned
Aug 9, 2005
Last updated
Aug 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Authorized official

Name
Laurie Martin
Title
Chief Financial Officer
Phone
(413) 794-0000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2339 MA
Community Health Clinic/Center 261QC1500X 2339 MA
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 0109 MA
General Acute Care Hospital 282N00000X 2339 MA Primary

Addresses

Primary practice location

759 Chestnut St
Springfield, MA 01199-1001

Mailing address

759 Chestnut St
Springfield, MA 01199-1001
Phone (413) 794-0000

Other identifiers 5

IdentifierTypeStateIssuer
1202847MedicaidMA
1211161MedicaidMA
1002554MedicaidMA
1311468MedicaidMA
1211153MedicaidMA

Other names 1

  • Baystate Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040621000530 MA Part A Provider - Hospital 9931184496 1 other NPI on this enrollment
Practice locations: Springfield, MA; Westfield, MA; Ware, MA; Agawam, MA; Holyoke, MA; Longmeadow, MA; Palmer, MA; South Hadley, MA
O20070426000409 MA Part B Supplier - Clinic/Group Practice 9931184496 Receives reassigned benefits from 17 practitioners
1 other NPI on this enrollment
Practice locations: Springfield, MA; Ware, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487655064. Details of each certification follow.

Hospital certification: CCN 220077

Legal name
BAYSTATE MEDICAL CENTER INC.
Doing business as
BAYSTATE MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Apr 1, 1976
Last certification
Mar 14, 2013
Beds
716
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
759 Chestnut St
Springfield, MA 11991001
Other Hospital Practice Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Baystate Medical CenterCCN 220077 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

100 Wason Ave
Ste 300
Springfield, MA 01107
Phone (413) 794-8899

280 Chestnut St
Fl 4
Springfield, MA 01104

280 Chestnut St
Fl 4
Springfield, MA 01199

759 Chesnut St
Springfield, MA 01199
Phone (413) 794-8336

Ownership & related parties

All disclosed owners & managing parties 25

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mark a O'Connell Individual Corporate Director Jan 1, 2023
Nicolas Jabbour Individual Corporate Director Jan 1, 2024
Julie Quink Individual Corporate Director Jan 1, 2024
Ruth H Constantine Individual Corporate Director Feb 8, 2022
Sara a Rourke Individual Corporate Director Jan 1, 2022
Paul Gosselin Individual Corporate Director Jun 18, 2026
Nancy Remillard Individual Corporate OfficerAssistant Clerk Nov 13, 2018
Peter Banko Individual Corporate OfficerPresident & Ceo Baystate Health Jun 3, 2024
Corporate DirectorPresident & Ceo Baystate Health Jun 3, 2024
Linda Thompson Individual Corporate Director Jan 1, 2023
Claudia R Coplein Individual Corporate Director Jan 1, 2017
Denise R. Jordan Individual Corporate Director Jan 1, 2020
Baystate Health, Inc Organization, Springfield, MA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Aug 1, 2005 100%
Madeline Landrau Individual Corporate Director Jan 1, 2024
Akinyele K Lovelace Individual Corporate Director Jan 1, 2020
Paul C. Picknelly Individual Corporate Director Jan 1, 2020
Harriet a Deverry Individual Corporate Officer Jan 1, 2023
Colleen W Holmes Individual Corporate OfficerChair Jan 1, 2023
Corporate Director Jan 1, 2017
Richard D Bossie Individual Corporate Director Jan 1, 2022
Antonio E Dos-Santos Individual Corporate Director Jan 1, 2023
Baystate Administrative Services, Inc. Organization, Springfield, MA Corporation, Management services company, Non-profit Operational/Managerial Control Sep 15, 1986
Maria P Goncalves Individual Corporate Director Jan 1, 2018
Irene Rodriguez-Martin Individual Corporate Director Jan 1, 2018
William R Webber Individual Corporate Director Jan 1, 2017
Laurie Martin Individual Contracted Managing Employee Jun 18, 2026
Corporate OfficerCfo & Treasurer Jul 31, 2025
Baystate Medical Center Inc. Organization, Springfield, MA Operational/Managerial Control Apr 1, 1983

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baystate Medical CenterSpringfield, MA, CCN 22S077 Hospital Operational/Managerial Control Apr 1, 1983
Valley Springs Behavioral Health HospitalHolyoke, MA, CCN 224047 Hospital 5% Or Greater Direct Ownership Interest (49%) Oct 13, 2020

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 306

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 306

Affiliated clinicians 1,737

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,737

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1487655064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 CHESTNUT ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991001",
            "telephone_number": "413-794-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 CHESTNUT ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991001",
            "telephone_number": "413-794-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSTATE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "413-794-0000"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MA",
            "license": "2339",
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "MA",
            "license": "2339",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MA",
            "license": "0109",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MA",
            "license": "2339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1202847",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1211161",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002554",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1311468",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1211153",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Baystate Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baystate Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.