NPIMap

Organization Active NPI

Berkshire Medical Center, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pittsfield, MA
National Provider Identifier
1518173871
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
VQKK Issued in MA
Legal business name
BERKSHIRE MEDICAL CENTER, INC.
Practice address
8 Conte Dr
Pittsfield, MA 01201-8298
Phone
(413) 447-2000
Fax
(413) 447-2803
NPI assigned
May 15, 2007
Last updated
May 7, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
BERKSHIRE MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Authorized official

Name
Kathy Gromacki
Title
Project Coordinator
Phone
(413) 447-3442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X VQKK MA Primary

Addresses

Primary practice location

8 Conte Dr
Pittsfield, MA 01201-8298

Mailing address

PO Box 4999
Pittsfield, MA 01202-4999
Phone (413) 447-2000

Other identifiers 18

IdentifierTypeStateIssuer
260158OtherMAGELLAN BEHAVIORAL HEALT
0160OtherMVP
10558OtherHEALTH NEW ENGLAND
900201OtherTUFTS HEALTH PLAN OUTPT
1200143MedicaidMA
2222004630OtherMABLUE CROSS SDC
991396OtherCONNECTICARE
20300OtherMABMC HEALTH NET PLAN
905652OtherTUFTS HEALTH PLAN INPT
10005746OtherCDPHP
HO1478OtherOXFORD
1099981MedicaidMA
6300730OtherAETNA
900357OtherHARVARD PILGRIM HEALTH
220046OtherHUMANA
2222004610OtherMABLUE CROSS OUTPT
220046OtherMAUNICARE MA EMPLOYEE GIC
2222004601OtherMABLUE CROSS INPT

Other names 1

  • RENAL DIALYSIS SERVICES OF BMC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20111208000064 MA Part A Provider - End-Stage Renal Disease Facility (ESRD) 1355232711 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Great Barrington, MA
O20161026002863 MA Part A Provider - End-Stage Renal Disease Facility (ESRD) 1355232711 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: North Adams, MA
O20190806000212 MA Part A Provider - End-Stage Renal Disease Facility (ESRD) 1355232711 Practice locations: Pittsfield, MA

Other NPIs with the same Medicare PAC ID 7

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

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Berkshire Medical CenterCCN 223506
Overall star rating
3.0 of 5
Ownership
Non-profit
Certified
Jan 7, 2018
Medicare certification status
Terminated Other: provider status change, Jan 7, 2018From the Provider of Services file
Dialysis stations
25

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory
Part of
Berkshire Medical Cente

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

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

Ownership & related parties

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Berkshire Medical Center IncPittsfield, MA, CCN 22S046 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 2, 1990
Berkshire Medical Center IncPittsfield, MA, CCN 22T046 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 2, 1990
Berkshire Visiting Nurse AssociationPittsfield, MA, CCN 227122 Home health agency 5% Or Greater Direct Ownership Interest (100%) Nov 2, 1990

Owned or controlled facilities with NPI records 3

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

Practitioners & affiliated clinicians

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1518173871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4999",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012024999",
            "telephone_number": "413-447-2000",
            "fax_number": "413-447-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CONTE DR",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012018298",
            "telephone_number": "413-447-2000",
            "fax_number": "413-447-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BERKSHIRE MEDICAL CENTER, INC.",
        "enumeration_date": "2007-05-15",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "GROMACKI",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "PROJECT COORDINATOR",
        "authorized_official_telephone_number": "413-447-3442"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "MA",
            "license": "VQKK",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALT",
            "identifier": "260158",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "0160",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "10558",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN OUTPT",
            "identifier": "900201",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1200143",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SDC",
            "identifier": "2222004630",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "991396",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTH NET PLAN",
            "identifier": "20300",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN INPT",
            "identifier": "905652",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10005746",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "HO1478",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1099981",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6300730",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "900357",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "220046",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OUTPT",
            "identifier": "2222004610",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE MA EMPLOYEE GIC",
            "identifier": "220046",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS INPT",
            "identifier": "2222004601",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RENAL DIALYSIS SERVICES OF BMC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.