NPIMap

Organization Active NPI

Berkshire Orthopaedic Associates, Inc.

  • Orthopaedic Surgery Physician
  • Pittsfield, MA
National Provider Identifier
1720117047
Registry record updated Jul 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
BERKSHIRE ORTHOPAEDIC ASSOCIATES, INC.
Practice address
24 Park St
Pittsfield, MA 01201-4037
Phone
(413) 499-6600
Fax
(413) 443-0354
NPI assigned
Mar 4, 2007
Last updated
Jul 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2011

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

Authorized official

Name
Yvonne D Robert
Title
Business Manager
Phone
(413) 499-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

24 Park St
Pittsfield, MA 01201-4037

Mailing address

24 Park St
Pittsfield, MA 01201-4037
Phone (413) 499-6600

Other identifiers 1

IdentifierTypeStateIssuer
9757201MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050713000409 MA Part B Supplier - Clinic/Group Practice 2567498363 Receives reassigned benefits from 17 practitioners
1 other NPI on this enrollment
Practice locations: Great Barrington, MA; North Adams, MA; Pittsfield, MA
O20100930081383 MA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 2567498363 Practice locations: Pittsfield, MA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1 Hospital Ave
North Adams, MA 01247

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309824000000",
    "number": "1720117047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PARK ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014037",
            "telephone_number": "413-499-6600",
            "fax_number": "413-443-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 PARK ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014037",
            "telephone_number": "413-499-6600",
            "fax_number": "413-443-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE ORTHOPAEDIC ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-04",
        "last_updated": "2011-07-05",
        "status": "A",
        "authorized_official_last_name": "ROBERT",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "413-499-6600"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9757201",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.