Individual provider Active NPI

Tony Makdisi, M.D.

  • Internal Medicine Physician
  • Pittsfield, MA
National Provider Identifier
1699733618
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
226710 Issued in MA
Practice address
725 North St
Pittsfield, MA 01201-4132
Phone
(413) 496-6820
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 226710 MA Primary

Addresses

Primary practice location

725 North St
Pittsfield, MA 01201-4132

Mailing address

14 Marshall Ave
Pittsfield, MA 01201-7306
Phone (413) 496-6820

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
I20060130000087 MA Practitioner - Internal MedicinePractitioner - Physical Medicine and RehabilitationPractitioner - Hospice/Palliative Care 9537173513 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkshire Medical Center IncGroup PAC ID 1355232711, 195 clinicians
Berkshire Faculty Services IncGroup PAC ID 8224068424, 276 clinicians

Practice addresses (Care Compare)

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

725 N Street Berkshire OB/GYN of
Mbu
Pittsfield, MA 01201-4109
Phone (413) 499-8570

780 S Main St
Suite 2
Great Barrington, MA 01230-2149
Phone (413) 447-2498

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Hospital CurrentSince Apr 4, 2013 Accepting new patients
Berkshire Faculty Services Inc CurrentSince Apr 4, 2013 Accepting new patients
Berkshire Medical Center, Inc CurrentSince Jan 9, 2006 Accepting new patients
North Adams Regional Hospital Corporation CurrentSince Apr 29, 2024 Accepting new patients
North Adams Regional Hospital Corporation CurrentSince Apr 29, 2024 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Jan 9, 2006 Accepting new patients

Locations

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

71 Hospital Ave
North Adams, MA 01247
Phone (413) 664-4343

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1699733618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MARSHALL AVE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012017306",
            "telephone_number": "413-496-6820",
            "fax_number": "413-496-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014132",
            "telephone_number": "413-496-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKDISI",
        "first_name": "TONY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "226710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.