Individual provider Active NPI

Michael J Fasano, MD

  • Anesthesiology Physician
  • Pittsfield, MA
National Provider Identifier
1548260664
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD045345E Issued in PA
Practice address
Berkshire Medical Center
725 North Street
Pittsfield, MA 01201
Phone
(413) 447-2000
NPI assigned
Jul 29, 2005
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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 MD045345E PA Primary

Addresses

Primary practice location

Berkshire Medical Center
725 North Street
Pittsfield, MA 01201

Mailing address

Berkshire Medical Center
725 North Street
Pittsfield, MA 01201
Phone (413) 447-2000

Other practice location 1

325 S Belmont St
York, PA 17405
Phone (717) 849-5331

Other identifiers 1

IdentifierTypeStateIssuer
001194830MedicaidPA

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
I20080605000177 MA Practitioner - Anesthesiology 7416858881 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Pennsylvania State University College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview HospitalGroup PAC ID 1254240773, shared by 6 NPIs, 56 clinicians
Berkshire Medical Center IncGroup PAC ID 1355232711, 195 clinicians

Practice addresses (Care Compare)

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

725 N St
Pittsfield, MA 01201-4109
Phone (413) 447-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
234195MAMDPharmacist
MD045345EPAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Medical Center, Inc CurrentSince Jun 30, 2008 Accepting new patients
Fairview Hospital CurrentSince Jun 30, 2008 Accepting new patients
Fairview Hospital CurrentSince Dec 3, 2025 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Jun 30, 2008 Accepting new patients
Fairview Hospital CurrentSince Jun 30, 2008 Accepting new patients
Memorial Hospital 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 6

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 2

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1548260664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BERKSHIRE MEDICAL CENTER",
            "address_2": "725 NORTH STREET",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "01201",
            "telephone_number": "413-447-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BERKSHIRE MEDICAL CENTER",
            "address_2": "725 NORTH STREET",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "01201",
            "telephone_number": "413-447-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 S Belmont St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "17405",
            "country_code": "US",
            "telephone_number": "717-849-5331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FASANO",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD045345E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001194830",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.