Individual provider Active NPI

Adrian Edward John Elliot, M.D.

  • Emergency Medicine Physician
  • Great Barrington, MA
National Provider Identifier
1639333834
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
247068 Issued in MA
Practice address
29 Lewis Ave
Great Barrington, MA 01230-1713
Phone
(413) 528-8606
NPI assigned
Jul 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 247068 MA Primary

Addresses

Primary practice location

29 Lewis Ave
Great Barrington, MA 01230-1713

Mailing address

29 Lewis Ave
Great Barrington, MA 01230-1796
Phone (413) 528-8606

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
I20120327000155 MA Practitioner - Emergency Medicine 9436319654 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Howard University College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview HospitalGroup PAC ID 1254240773, 56 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
247068MAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Hospital CurrentSince Oct 2, 2025 Accepting new patients

Locations

29 Lewis Ave
Gt Barrington, MA 01230
Phone (413) 528-0790

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1639333834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 LEWIS AVE",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301796",
            "telephone_number": "413-528-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 LEWIS AVE",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301713",
            "telephone_number": "413-528-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOT",
        "first_name": "ADRIAN",
        "middle_name": "EDWARD JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "247068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Barrington, MA

Sources for this page

Verify at the official NPI Registry.