Individual provider Active NPI

Craig R Kirby, D.O.

  • Family Medicine Physician
  • Pittsfield, MA
National Provider Identifier
1689632556
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
78690 Issued in MA
Practice address
20 Elm St
Family Practice Assoc.
Pittsfield, MA 01201-6502
Phone
(413) 442-1019
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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 78690 MA Primary

Addresses

Primary practice location

20 Elm St
Family Practice Assoc.
Pittsfield, MA 01201-6502

Mailing address

20 Elm St
Family Practice Assoc.
Pittsfield, MA 01201-6502
Phone (413) 442-1019

Other identifiers 1

IdentifierTypeStateIssuer
3119459MedicaidMA

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
I20040708001266 MA Practitioner - Family Practice 1153309943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkshire Family Practice Associates , PCGroup PAC ID 0244561710, 10 clinicians

Practice addresses (Care Compare)

20 Elm St
Pittsfield, MA 01201-6502
Phone (413) 442-1019

Hospital & facility affiliations

  • Hospicecare in the Berkshires Hospice, Pittsfield, MA, CCN 221531
  • Berkshire Medical Center Hospital, Pittsfield, MA, CCN 220046
  • Mount Carmel Care Center Nursing home, Lenox, MA, CCN 225581

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
78690MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Family Practice Associates , PC Family Medicine CurrentSince Jul 17, 2019 Accepting new patients
Mount Carmel Care Center, Inc. Past Accepting new patients

Locations

20 Elm St
Pittsfield, MA 01201
Phone (413) 442-1019

Interoperability endpoints

  • Direct secure messaging: craigkirby@combfp.medalliesdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Mount Carmel Care CenterLenox, MA, CCN 225581 Skilled nursing facility Contracted Managing Employee (100%) Jun 1, 2024

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 2

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 3

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1689632556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ELM ST",
            "address_2": "FAMILY PRACTICE ASSOC.",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016502",
            "telephone_number": "413-442-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ELM ST",
            "address_2": "FAMILY PRACTICE ASSOC.",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016502",
            "telephone_number": "413-442-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "CRAIG",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "78690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3119459",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.