Individual provider Active NPI

Thomas Joseph Kwiatkowski Jr., MD PHD

  • Neurology Physician
  • Pittsfield, MA
National Provider Identifier
1699758334
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
208817 Issued in MA
Practice address
777 North St
Neurology
Pittsfield, MA 01201-4147
Phone
(413) 395-7694
Fax
(413) 496-6842
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 208817 MA Primary
Neurology Physician 2084N0400X 2021-03132 NC
Neurology Physician 2084N0400X MD60114761 WA

Addresses

Primary practice location

777 North St
Neurology
Pittsfield, MA 01201-4147

Mailing address

725 North St
Pittsfield, MA 01201-4109
Phone (413) 447-2752

Other practice location 1

101 W 8th Ave 8 North
Spokane, WA 99204
Phone (509) 458-7851

Other practice location 2

680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000

Other identifiers 3

IdentifierTypeStateIssuer
0139777MedicaidMA
J23214OtherMABCBS MA
208817OtherMATUFTS HEALTH PLAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tkwiatkowski353417@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080619000017 MA Practitioner - Neurology 1759452758 Reassigns benefits to 2 organizations
I20220112000765 NC Practitioner - Neurology 1759452758

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Baylor College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Berkshire Faculty Services IncGroup PAC ID 8224068424, 276 clinicians

Practice addresses (Care Compare)

777 N St
Suite 207
Pittsfield, MA 01201-4123
Phone (413) 499-8510

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
208817MAMDNeurology Physician
2021-03132NCMDNeurology Physician
MD60114761WAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Healthcare Medical Group Inc CurrentSince Oct 3, 2025 Accepting new patients
Berkshire Faculty Services Inc CurrentSince Jul 22, 2010 Accepting new patients
Fairview Hospital CurrentSince Jul 22, 2010 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Hillcrest Family Health Center Past Accepting new patients

Locations

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

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

777 North St
Ste 201A
Pittsfield, MA 01201
Phone (413) 499-8551

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

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

190 Kimel Park Dr
Ste 120
Winston Salem, NC 27103
Phone (336) 277-2200

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Interoperability endpoints

  • Direct secure messaging: tkwiatkowski503508@direct.multicare.org
  • Direct secure messaging: tkwiatkowski353417@wm.providencedirect.org
  • Direct secure messaging: thomaskwiatkowski@bfs.medalliesdirect.net
  • Direct secure messaging: tkwiatkowski1011649@direct.novanthealth.org

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 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": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1699758334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014109",
            "telephone_number": "413-447-2752",
            "fax_number": "413-496-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 NORTH ST",
            "address_2": "NEUROLOGY",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014147",
            "telephone_number": "413-395-7694",
            "fax_number": "413-496-6842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W 8th Ave 8 North",
            "address_purpose": "LOCATION",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99204",
            "country_code": "US",
            "telephone_number": "509-458-7851",
            "fax_number": "509-474-2895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 Centre St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023023308",
            "country_code": "US",
            "telephone_number": "508-941-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWIATKOWSKI",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "208817",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2021-03132",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD60114761",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0139777",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J23214",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "208817",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tkwiatkowski353417@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "101 W 8th Ave 8 North",
            "city": "SPOKANE",
            "state": "WA",
            "country_code": "US",
            "postal_code": "99204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.