NPIMap

Individual provider Active NPI

Deborah Buccino, MD

  • Pediatrics Physician
  • Great Barrington, MA
National Provider Identifier
1568455913
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
151501 Issued in MA
Practice address
100 Maple Ave Ste 1
Great Barrington, MA 01230-1965
Phone
(413) 528-4047
Fax
(413) 528-3407
NPI assigned
Aug 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 151501 MA Primary

Addresses

Primary practice location

100 Maple Ave Ste 1
Great Barrington, MA 01230-1965

Mailing address

100 Maple Ave Ste 1
Great Barrington, MA 01230-1965
Phone (413) 528-4047

Other identifiers 16

IdentifierTypeStateIssuer
151501OtherTUFTS HEALTH PLAN
P722165OtherOXFORD
01668780OtherNY MEDICAID
26599OtherMVP
073130OtherCTCARE
10029271OtherCDPHP
18701OtherHEALTH NEW ENGLAND
J17043OtherBCBS OF MASS
000000020949OtherBMC HEALTHNET
005026765OtherAETNA
3156591MedicaidMA
1385731OtherUNITED HEALTH
G41354OtherHARVARD PILGRIM HEALTH PL
102755OtherCIGNA
28097OtherCHILDRENS MEDICAL SEC
MA4407OtherHEALTHNET OF THE NE INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
151501MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Faculty Services Inc Current Accepting new patients
Community Health & Wellness Center of Greater Torrington Past Accepting new patients
Community Health and Wellness Center of Greater Torrington Inc Past Accepting new patients
Community Health and Wellness Center of Greater Torrington Inc Past Accepting new patients
Baystate Medical Practices, Inc Pediatrics Past Accepting new patients

Locations

100 Maple Ave
Ste 1
Gt Barrington, MA 01230
Phone (413) 528-4047

Interoperability endpoints

  • Direct secure messaging: deborahbuccino@bfs.medalliesdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1568455913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAPLE AVE STE 1",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301965",
            "telephone_number": "413-528-4047",
            "fax_number": "413-528-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAPLE AVE STE 1",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301965",
            "telephone_number": "413-528-4047",
            "fax_number": "413-528-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCCINO",
        "first_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "151501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "151501",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P722165",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY MEDICAID",
            "identifier": "01668780",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "26599",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CTCARE",
            "identifier": "073130",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10029271",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "18701",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MASS",
            "identifier": "J17043",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET",
            "identifier": "000000020949",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "005026765",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3156591",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "1385731",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH PL",
            "identifier": "G41354",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "102755",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDRENS MEDICAL SEC",
            "identifier": "28097",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET OF THE NE INC",
            "identifier": "MA4407",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Barrington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.