NPIMap

Individual provider Active NPI

Mark Snowise, MD

  • Family Medicine Physician
  • Lee, MA
National Provider Identifier
1629036116
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
205153 Issued in MA
Practice address
710 Stockbridge Rd
Lee, MA 01238-9316
Phone
(413) 243-0122
Fax
(413) 243-2251
NPI assigned
May 3, 2006
Last updated
Sep 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 205153 MA Primary

Addresses

Primary practice location

710 Stockbridge Rd
Lee, MA 01238-9316

Mailing address

710 Stockbridge Rd
Lee, MA 01238-9316

Other identifiers 1

IdentifierTypeStateIssuer
0103422MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100326000574 MA Practitioner - Family PracticePractitioner - Sports MedicinePractitioner - Other (Physician) 0941336135 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Tufts University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Suburban Internal Medicine, Inc.Group PAC ID 0547203929, 14 clinicians
Suburban PaltcGroup PAC ID 4880134824, 12 clinicians

Practice addresses (Care Compare)

710 Stockbridge Rd
Lee, MA 01238-9316
Phone (413) 243-0122

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions34
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Medical Center Inc. CurrentSince Mar 1, 2020 Accepting new patients
Berkshire Medical Center, Inc CurrentSince Mar 1, 2020 Accepting new patients
Suburban Paltc CurrentSince Apr 1, 2025 Accepting new patients
Pittsfield Management Systems Inc. Past Accepting new patients
Willowood of Great Barrington Inc Past Accepting new patients
Hillcrest Extended Care Services, Inc Past Accepting new patients

Locations

710 Stockbridge Rd
Lee, MA 01238
Phone (413) 243-0122

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

Interoperability endpoints

  • Direct secure messaging: marksnowise@comsub.medalliesdirect.net

Organizations & group practices 7

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 10

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1629036116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 STOCKBRIDGE RD",
            "city": "LEE",
            "state": "MA",
            "postal_code": "012389316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 STOCKBRIDGE RD",
            "city": "LEE",
            "state": "MA",
            "postal_code": "012389316",
            "telephone_number": "413-243-0122",
            "fax_number": "413-243-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOWISE",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "205153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0103422",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee, MA

Sources for this page

Verify at the official NPI Registry.