Active NPI
Charles Ross D'Agostino, MD
- Internal Medicine Physician
- Pittsfield, MA
National Provider Identifier
1750366381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 156843
- Practice address
- 1450 East St
Suite 6N
Pittsfield, MA 01201-5319 - Phone
- (413) 442-4700
- Fax
- (413) 442-4711
- NPI assigned
- Dec 6, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 156843 | MA | Primary |
Addresses
Primary practice location
1450 East St
Suite 6N
Pittsfield, MA 01201-5319
Mailing address
1565 Hancock Rd
Williamstown, MA 01267-3029
Phone (413) 442-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 156843 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David M Grygier MD LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Pittsfield, MA
- NPI 1144415456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1750366381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1565 HANCOCK RD",
"city": "WILLIAMSTOWN",
"state": "MA",
"postal_code": "012673029",
"telephone_number": "413-442-4700",
"fax_number": "413-442-4711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 EAST ST",
"address_2": "SUITE 6N",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012015319",
"telephone_number": "413-442-4700",
"fax_number": "413-442-4711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'AGOSTINO",
"first_name": "CHARLES",
"middle_name": "ROSS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-06",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "156843",
"primary": true
}
],
"identifiers": [],
"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 Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.