Jeffrey L St John, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

231178 Issued in MA

Practice address

777 North St
Suite 203
Pittsfield, MA 01201-4147

Phone

(413) 499-8590

Fax

(413) 499-6410

NPI assigned

Aug 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 9

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

Specialty

GastroenterologyAlso: Internal Medicine

Education

Boston University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Berkshire Faculty Services IncGroup PAC ID 8224068424, 276 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Berkshire Medical Center Hospital, Pittsfield, MA, CCN 220046
• Fairview Hospital Hospital, Great Barrington, MA, CCN 221302
• North Adams Regional Hospital Corporation Hospital, North Adams, MA, CCN 221304

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeffreystjohn@bfs.medalliesdirect.net

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.

• Berkshire Faculty Services Inc

  • Multi-Specialty Clinic/Center
  • Pittsfield, MA
  • NPI 1548212939
  Medicare reassignment Care Compare group NPD
• Fairview Hospital

  • Critical Access Hospital
  • Great Barrington, MA
  • NPI 1942474176
  Medicare reassignment NPD
• Fairview Hospital

  • Rural Health Clinic/Center
  • North Adams, MA
  • NPI 1639737042
  NPD
• Fairview Hospital

  • Rural Health Clinic/Center
  • Great Barrington, MA
  • NPI 1881252286
  NPD
• Central Berkshire Gastroenterology, PC

  • Specialist
  • Pittsfield, MA
  • NPI 1619957974
  NPD (past)
• Hillcrest Family Health Center

  • Family Medicine Physician
  • Waco, TX
  • NPI 1891796694
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Berkshire Medical Center, Inc

  • General Acute Care Hospital
  • Pittsfield, MA
  • NPI 1295765261
  Care Compare affiliation
• Fairview Hospital

  • Critical Access Hospital
  • Great Barrington, MA
  • NPI 1730112251
  Care Compare affiliation
• North Adams Regional Hospital Corporation

  • Critical Access Hospital
  • North Adams, MA
  • NPI 1437839669
  Care Compare affiliation

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1750383170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 NORTH ST STE 203",
            "address_2": "P.O. BOX 1264",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014123",
            "telephone_number": "413-499-8590",
            "fax_number": "413-499-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 NORTH ST",
            "address_2": "SUITE 203",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014147",
            "telephone_number": "413-499-8590",
            "fax_number": "413-499-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST JOHN",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "231178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2146568",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET",
            "identifier": "000000043487",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02635367",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "J41872",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH PLAN",
            "identifier": "AA96200",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "1750383170",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7903586",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "3002785",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "41385",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• SRC Pittsfield Op, LLC
• SRC Pittsfield, LLC
• Kolala R Sridhar, MD
• Sundeep Srikakulam, M.D.
• Seema Srinivasa Raju, MD
• Michael A. Stamm, MD
• Janet G Stanton, NP
• Sean Stanton
• Nicole Marie Stark, MSW, LCSW
• Scott Johnston Steele, MSW

• Gastroenterology Physician in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Gastroenterology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.