Mitali Saha, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

237873 Issued in MA

Practice address

100 Maple Ave Ste 1
Great Barrington, MA 01230-1965

Phone

(413) 528-4047

Fax

(413) 528-3407

NPI assigned

Aug 20, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Baby Doc Inc

  dba Night Watch Pediatric Urgent Care

  • Urgent Care Clinic/Center
  • Manassas, VA
  • NPI 1174004774
  Medicare reassignment NPD

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1730336892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAPLE AVE STE 1",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301965",
            "telephone_number": "413-528-4047",
            "fax_number": "413-528-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAPLE AVE STE 1",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301965",
            "telephone_number": "413-528-4047",
            "fax_number": "413-528-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHA",
        "first_name": "MITALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "237873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Rotenberg
• Jennifer G Rubino, DNP, FNP-BC
• Rural Recovery Resources Inc
• Rural Recovery Resources Inc
• Sacredkairos LLC
• Datty Sahyouni X, DDS
• Terri Madalyn Sash, M.A.
• Suzanne Sawyer, OT/L
• Dawn Marie Scarbro, CNP
• Janice Schollenberger, LMT

• Pediatrics Physician in Great Barrington, MA
• Providers in Great Barrington, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.