Individual provider Active NPI

Kathryn Yuko Barzilai, NURSE PRACTITIONER

  • Gerontology Nurse Practitioner
  • West Springfield, MA
National Provider Identifier
1730296906
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
RN2258167 Issued in MA
Practice address
30 Capital Dr
West Springfield, MA 01089-1350
Phone
(413) 794-6411
Fax
(413) 794-6685
NPI assigned
Aug 24, 2006
Last updated
Apr 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X RN2258167 MA Primary

Addresses

Primary practice location

30 Capital Dr
West Springfield, MA 01089-1350

Mailing address

280 Chestnut Street
2ND FL
Springfield, MA 01199-1001
Phone (413) 794-5000

Other practice location 1

354 Birnie Ave
Springfield, MA 01107-1108
Phone (413) 733-3470

Other practice location 2

759 Chestnut Street
Springfield, MA 01107-1619
Phone (413) 794-3147

Other names 1

  • Kathryn Yuko Barzilai Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101026000795 MA Practitioner - Nurse Practitioner 4183647563 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baystate Medical Practices IncGroup PAC ID 5991602971, 1,350 clinicians
Medical Care of Boston Management CorporationGroup PAC ID 6800787714, 293 clinicians

Practice addresses (Care Compare)

30 Capital Dr
West Springfield, MA 01089-1350
Phone (413) 794-6411

32 S Main St
100 Beth Israel Deaconess Health Care Rando
Randolph, MA 02368-4835
Phone (781) 986-8039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Care of Boston Management Corporation CurrentSince Dec 1, 2025 Accepting new patients
Baystate Medical Practices, Inc CurrentSince Nov 1, 2017 Accepting new patients
Lifespan Corp Lfspn Dsi Dba Hospice of Ri Past Accepting new patients
The Mercy Hospital Inc Past Accepting new patients
Hopehealth Hospice & Palliative Care Past Accepting new patients
Hopehealth Hospice & Palliative Care Past Accepting new patients

Locations

770 Converse St
Longmeadow, MA 01106
Phone (413) 565-2904

32 S Main St
Ste 100
Randolph, MA 02368
Phone (781) 575-0330

93 Pond St
Sharon, MA 02067
Phone (781) 784-9212

222 Carew St
Springfield, MA 01104
Phone (413) 732-4210

280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385

759 Chestnut St
Springfield, MA 01107
Phone (413) 794-6297

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

30 Capital Dr
West Springfield, MA 01089
Phone (413) 333-6220

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1730296906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT STREET",
            "address_2": "2ND FL",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991001",
            "telephone_number": "413-794-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CAPITAL DR",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891350",
            "telephone_number": "413-794-6411",
            "fax_number": "413-794-6685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "354 Birnie Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011071108",
            "country_code": "US",
            "telephone_number": "413-733-3470",
            "fax_number": "413-733-5235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "759 Chestnut Street",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011071619",
            "country_code": "US",
            "telephone_number": "413-794-3147",
            "fax_number": "413-794-4054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARZILAI",
        "first_name": "KATHRYN",
        "middle_name": "YUKO",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN2258167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "BARZILAI",
            "middle_name": "YUKO",
            "credential": "CASTELLANO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Springfield, MA

Sources for this page

Verify at the official NPI Registry.