Individual provider Active NPI

Thomas Bernard Edwards, M.D.

  • Allergy & Immunology Physician
  • Pittsfield, MA
National Provider Identifier
1740215771
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
156926 Issued in MA
Practice address
369 South St
Pittsfield, MA 01201-6803
Phone
(413) 443-4826
Fax
(413) 443-4488
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 156926 MA Primary

Addresses

Primary practice location

369 South St
Pittsfield, MA 01201-6803

Mailing address

369 South St
Pittsfield, MA 01201-6803
Phone (413) 443-4826

Other identifiers 2

IdentifierTypeStateIssuer
158837OtherMATUFTS HEALTH PLAN
3178781MedicaidMA

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
I20091013000491 MA Practitioner - Allergy/Immunology 5890831499 Reassigns benefits to 1 organization
Practice locations: Worcester, MA; Pittsfield, MA

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
New York University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Berkshire Allergy Care PCGroup PAC ID 3678865938, 5 clinicians

Practice addresses (Care Compare)

369 S St
Pittsfield, MA 01201-6803
Phone (413) 443-4826

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.18 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
80.59

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Allergy Care, P.C. Allergy & Immunology CurrentSince Apr 13, 2016 Accepting new patients
Central Mass Allergy & Asthma Care PastSince May 1, 2003 Accepting new patients
Allergy & Asthma Treatment Specialists, P.C. PastSince Aug 25, 2008 Accepting new patients
New England Pain Associates Past Accepting new patients

Locations

475 Franklin St
Ste 206
Framingham, MA 01702
Phone (508) 879-2712

369 South St
Pittsfield, MA 01201
Phone (413) 443-4826

369 South St
#1
Pittsfield, MA 01201
Phone (413) 281-3752

425 Lake Ave N
Ste 201
Worcester, MA 01605
Phone (508) 757-1589

Organizations & group practices 4

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 2

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1740215771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016803",
            "telephone_number": "413-443-4826",
            "fax_number": "413-443-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016803",
            "telephone_number": "413-443-4826",
            "fax_number": "413-443-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "THOMAS",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MA",
            "license": "156926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "158837",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3178781",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.